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

Tyler Peterson Peterson

Individual provider Physical Therapy Assistant · NPI 1093291700

Tyler Peterson Peterson is a Physical Therapy Assistant in Liberty Lake, Washington. Licensed in Washington. Registered with an NPI since 2018.

Licensed in
WA
In the registry since
2018

Practice location Address checks out

1334 N Whitman Ln Ste 100
Liberty Lake, WA 99019-6034
Phone: (509) 924-1222
Show map & directions

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

Specialties & licences

Physical Therapy Assistant (primary) Taxonomy 225200000X (WA)

Record details

NPI number1093291700
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedJuly 16, 2018
Last updated in NPPESJuly 16, 2018

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