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

Tracy Peterson Jr.

Individual provider Community Health Worker · NPI 1205245727

Tracy Peterson Jr. is a Community Health Worker in Bristolville, Ohio. Practices as a sole proprietor. Registered with an NPI since 2014.

In the registry since
2014

Practice location Address checks out

833 Greenville Rd NE
Bristolville, OH 44402-9767
Phone: (330) 980-3501
Show map & directions

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

Specialties & licences

Community Health Worker (primary) Taxonomy 172V00000X

Record details

NPI number1205245727
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedAugust 8, 2014
Last updated in NPPESSeptember 23, 2014