MEDICARE: VON C PETERSEN P.T.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225100000X	Physical Therapist	2463	CO

General Provider Information

NPI Number	:	1194010819
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	VON C PETERSEN P.T.

Provider Business Mailing Address
First Line	:	1243 MCKINLEY AVE
Second Line	:
City	:	ROCK SPRINGS
State	:	WY
Zip	:	82901-7422
Country	:	US
Telephone Number	:	561-859-9036
Fax Number	:

Provider Business Practice Location Address
First Line	:	1243 MCKINLEY AVE
Second Line	:
City	:	ROCK SPRINGS
State	:	WY
Zip	:	82901-7422
Country	:	US
Telephone Number	:	561-859-9036
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/10/2011
Last Update Date	:	06/10/2011

Similar Medicare Providers

1902017130 — DR. JAMES PAGE WALKER D.D.S.
Practice Location Address:

8050 SW WARM SPRINGS ST STE 150
TUALATIN, OR
97062-7422

Practice Phone: 503-885-1899
Practice Fax:

1265668586 — DR. PHILIP S KUHL DMD
Practice Location Address:

1675 SANDY SPRINGS DR
FLEMING ISLAND, FL
32003-7422

Practice Phone: 267-535-9321
Practice Fax:

1841583499 — CHRISTINA MEHANNI MD
Practice Location Address:

8050 SW WARM SPRINGS STREET, STE 150
TUALATIN, OR
97062-7422

Practice Phone: 503-692-7971
Practice Fax: 503-691-6837

1811242555 — SANJAY P NEUPANE MD
Practice Location Address:

8050 SW WARM SPRINGS ST STE 150
TUALATIN, OR
97062-7422

Practice Phone: 503-692-7971
Practice Fax: 503-691-6837

1275277527 — MICHAEL JOSEPH FISHER FNP-BC
Practice Location Address:

8050 SW WARM SPRINGS ST STE 150
TUALATIN, OR
97062-7422

Practice Phone: 503-692-7971
Practice Fax: 503-691-6837

1457551574 — SHERIDAN VAMC
Practice Location Address:

1001 GATEWAY BLVD
ROCK SPRINGS, WY
82901-6774

Practice Phone: 913-578-4409
Practice Fax:

Directions to “ VON C PETERSEN P.T.” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.