Russel Peterson
Russel Peterson is a Physical Therapist in Private Practice in Snowflake, Arizona. Qualified in 1996, 30 years ago. Practices with White Mountain Physical Therapy Ltd, a 15-clinician group and accepts Medicare assignment. Licensed in Arizona.
- Years since qualifying
- 30
- Licensed in
- AZ
- In the registry since
- 2006
Practice location Address checks out
420 S Main StSnowflake, AZ 85937-5246
Phone: (928) 536-2357
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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 3705 (AZ) |
|---|
Record details
| NPI number | 1063444933 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | July 7, 2006 |
| Last updated in NPPES | October 24, 2007 |
| Mailing address | 2650 E Show Low Lake Rd, Suite 3, Show Low, AZ 85901-7955 |
Medicare enrollment
| Medicare specialty | PHYSICAL THERAPIST IN PRIVATE PRACTICE |
|---|---|
| Medical school | OTHER |
| Graduated | 1996 (30 years in practice) |
| Group practice | White Mountain Physical Therapy Ltd — 15 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
| Practice locations | 3 on file with Medicare |
Other providers in Snowflake
-
Mark Porter Caldwell, PT
1788 Prairie Rd, Snowflake, AZ 85937 · (480) 272-5674
-
Jacquelyn Leah Garrett Allen, PT
682 W School Bus Ln, Snowflake, AZ 85937-5262 · (928) 607-7831