MEDICARE: JULIE PETERSON PT

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	2251X0800X	Orthopedic Physical Therapist	9111	CO
2	225100000X	Physical Therapist	1161230	CO

General Provider Information

NPI Number	:	1215924279
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JULIE PETERSON PT

Provider Business Mailing Address
First Line	:	PO BOX 4828
Second Line	:
City	:	EDWARDS
State	:	CO
Zip	:	81632-4828
Country	:	US
Telephone Number	:	970-569-3883
Fax Number	:	970-569-3884

Provider Business Practice Location Address
First Line	:	1140 EDWARDS VILLAGE BLVD B208
Second Line	:
City	:	EDWARDS
State	:	CO
Zip	:	81632-4828
Country	:	US
Telephone Number	:	970-569-3883
Fax Number	:	970-569-3884

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

Provider Enumeration Date	:	10/04/2005
Last Update Date	:	02/02/2012

Similar Medicare Providers

1396719340 — KRISTINA A ZOLLER DPT
Practice Location Address:

1140 EDWARDS VILL BLVD , B208
EDWARDS, CO
81632-4828

Practice Phone: 970-569-3883
Practice Fax: 970-569-3884

1518041847 — SARA JILL MANWILLER PT
Practice Location Address:

1140 EDWARDS VILLAGE BLVD B208
EDWARDS, CO
81632-4828

Practice Phone: 970-569-3883
Practice Fax: 970-569-3884

1063596393 — SARA J. MANWILLER, INC
Practice Location Address:

1140 EDWARDS VILL BLVD , B208
EDWARDS, CO
81632-4828

Practice Phone: 970-569-3883
Practice Fax: 970-569-3884

1053158717 — JOAN C SEGO LPC
Practice Location Address:

435 EDWARDS ACCESS RD
EDWARDS, CO
81632-5633

Practice Phone: 970-855-7378
Practice Fax:

1336142793 — DR. JONATHAN DANIEL OWENS OD
Practice Location Address:

1140 EDWARDS VILLAGE BLVD. , B-206
EDWARDS, CO
81632

Practice Phone: 970-926-8474
Practice Fax: 970-926-3634

1477558856 — MARK LANDT D.O.
Practice Location Address:

37 ELK PLACE
EDWARDS, CO
81632-0722

Practice Phone: 970-926-5702
Practice Fax:

Directions to “ JULIE PETERSON PT” 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 © 2007-2025 (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.