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

Tracy Peterson, PTA

Individual provider Physical Therapy Assistant · NPI 1093167165

Tracy Peterson, PTA is a Physical Therapy Assistant in Minneapolis, Minnesota. Licensed in Minnesota. Registered with an NPI since 2016.

Licensed in
MN
In the registry since
2016
What do these letters mean?
PTA — Physical Therapist Assistant
Delivers treatment under a physical therapist's direction.

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Practice location Address checks out

500 Harvard St SE Mayo 450/ Mmc 106
Minneapolis, MN 55455-0363
Phone: (612) 273-8922
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapy Assistant (primary) Taxonomy 225200000X · Licence A2069 (MN)

Record details

NPI number1093167165
Entity typeIndividual (Type 1)
GenderFemale
Credentials PTA
Sole proprietorNo
NPI enumeratedJuly 12, 2016
Last updated in NPPESAugust 22, 2016
Mailing address500 Harvard St Se, Minneapolis, MN 55455-0363

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