Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Jeffrey Petersen, PT

Individual provider Physical Therapist · NPI 1912367251

Jeffrey Petersen, PT is a Physical Therapist in Bonners Ferry, Idaho. Practices as a sole proprietor. Licensed in Idaho.

Licensed in
ID
In the registry since
2016
What do these letters mean?
PT — Physical Therapist
A licensed therapist who treats movement, pain and injury.

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Practice location Address checks out

6640 Kaniksu St
Bonners Ferry, ID 83805-7532
Phone: (208) 267-3141
Fax: (208) 267-1747
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence PT-2720 (ID)

Record details

NPI number1912367251
Entity typeIndividual (Type 1)
GenderMale
Credentials PT
Sole proprietorYes
NPI enumeratedFebruary 29, 2016
Last updated in NPPESFebruary 29, 2016
Mailing address6640 Kaniksu St, Bonners Ferry, ID 83805-7532

Other providers in Bonners Ferry