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Kristen Marie Peterson
Personal Care Attendant in Tipp City, Ohio
NPI 1104353556

Kristen Marie Peterson is a Personal Care Attendant based in Dayton, OH and is specialized in Personal Care Attendant. Kristen Marie Peterson practices in Tipp City, OH. The NPI Number for Kristen Marie Peterson is 1104353556 and holds a License No. 400705210108 (Ohio).

The current practice location address for Kristen Marie Peterson is 564 Burnside Dr, Tipp City, OH and can be reached out via phone at 937-838-5492.

Location: 564 Burnside Dr, Tipp City, OH, 45432-1136
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1104353556
Provider Name
Kristen Marie Peterson
Credential
Provider Entity Type
Individual
Gender
Female
Address
564 Burnside Dr, Tipp City, OH, 45432-1136
Phone Number
937-838-5492
Fax Number
Provider Enumeration Date
05/16/2017
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
0211289 05 OH
institution
Provider Business Practice Location Address Details
Address
564 Burnside Dr
City
Tipp City
State
Ohio
Zip
45371-3711
Phone Number
937-838-5492
Fax Number
person
Provider Business Mailing Address Details
Address
564 Burnside Dr
City
Tipp City
State
Ohio
Zip
45371-3711
Phone Number
937-838-5492
Fax Number
person
Provider's Taxonomy Details 1
Type
Nursing Service Related Providers
Classification
Technician
Speciality
Personal Care Attendant
Taxonomy
3747P1801X
License No.
400705210108 (Ohio)
Definition
An individual who provides assistance with eating, bathing, dressing, personal hygiene, activities of daily living as specified in the plan of care. Services which are incidental to the care furnished, or essential to the health and welfare of the individual may also be provided. Personal care providers must meet state defined training and certification standards
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