Holly A Petersen, PT, DPT
Physical Therapist in Kingston, Massachusetts
1114230547- Practice location
- 186 Summer St, Kingston, MA 02364-1282
- Phone
- 781-585-8588
- Fax
- 781-585-1279
- Last updated
- September 17, 2015
Holly Anne Petersen is a Physical Therapist based in Kingston, MA. Holly Anne Petersen practices in Kingston, MA and has the professional credentials of PT, DPT. The NPI Number for Holly Anne Petersen is 1114230547 and holds a License No. 19130 (MA). The current practice location address for Holly Anne Petersen is 186 Summer St, Kingston, MA 02364-1282 and can be reached out via phone at 781-585-8588 and via fax at 781-585-1279.
Provider Profile Details
- NPI Number
- 1114230547
- Provider Name
- Holly Anne Petersen
- Credential
- PT, DPT
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 186 Summer St, Kingston, MA 02364-1282
- Phone Number
- 781-585-8588
- Fax Number
- 781-585-1279
- Primary Taxonomy
- Physical Therapist · 225100000X
- Sole Proprietor
- No
- Provider Enumeration Date
- July 14, 2010
- Last Update Date
- September 17, 2015
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 186 Summer St
Kingston, MA 02364-1282 - City
- Kingston
- State
- Massachusetts
- Zip
- 02364-1282
- Phone Number
- 781-585-8588
- Fax Number
- 781-585-1279
Provider Business Mailing Address Details
- Address
- 535 S Main St
2ND Floor
Randolph, MA 02368-5261 - City
- Randolph
- State
- MA
- Zip
- 02368-5261
- Phone Number
- 781-961-3370
- Fax Number
- 781-767-7531
License Information
- License Number
- 19130
- License State
- MA
- Taxonomy
- Physical Therapist · 225100000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Holly A Petersen, PT, DPT?
The NPI number of Holly A Petersen, PT, DPT is 1114230547. It was assigned on July 14, 2010 and is currently active in the NPPES registry.
What is the specialty of Holly A Petersen, PT, DPT?
Holly A Petersen, PT, DPT is registered under the primary taxonomy Physical Therapist (code 225100000X), licensed in MA under license number 19130.
Where does Holly A Petersen, PT, DPT practice?
The practice location is 186 Summer St, Kingston, MA 02364-1282. The office can be reached at 781-585-8588 (phone) or 781-585-1279 (fax).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1114230547 directly on the NPPES registry website.