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

Lacey Marie Peterson, CPTA

Individual provider Physical Therapy Assistant · NPI 1124216213

Lacey Marie Peterson, CPTA is a Physical Therapy Assistant in Madison, Wisconsin. Practices as a sole proprietor. Licensed in South Dakota.

Licensed in
SD
In the registry since
2007

Practice location Address checks out

1807 Paso Roble Way
Madison, WI 53716-2418
Phone: (605) 267-0314
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapy Assistant (primary) Taxonomy 225200000X · Licence 0174 (SD)

Record details

NPI number1124216213
Entity typeIndividual (Type 1)
GenderFemale
Credentials CPTA
Sole proprietorYes
NPI enumeratedOctober 15, 2007
Last updated in NPPESOctober 15, 2007

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