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Mrs. Constance V Peterson, PT
Pediatric Physical Therapist in Kingston, Tennessee
NPI 1851323067

Constance V Peterson is a Pediatric Physical Therapist based in Knoxville, TN and is specialized in Pediatrics. Constance V Peterson practices in Kingston, TN and has the professional credentials of PT. The NPI Number for Constance V Peterson is 1851323067 and holds a License No. 1095 (Tennessee).

The current practice location address for Constance V Peterson is 187 Gallaher Rd, Kingston, TN and can be reached out via phone at 865-376-4620 and via fax at 865-376-1759.

Location: 187 Gallaher Rd, Kingston, TN, 37922
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1851323067
Provider Name
Constance V Peterson
Credential
PT
Provider Entity Type
Individual
Gender
Female
Address
187 Gallaher Rd, Kingston, TN, 37922
Phone Number
865-376-4620
Fax Number
865-376-1759
Provider Enumeration Date
07/07/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
5440745 05 TN
4005129 01 TN BLUECROSS BLUESHIELD
institution
Provider Business Practice Location Address Details
Address
187 Gallaher Rd
City
Kingston
State
Tennessee
Zip
37763-4721
Phone Number
865-376-4620
Fax Number
865-376-1759
person
Provider Business Mailing Address Details
Address
187 Gallaher Rd
City
Kingston
State
Tennessee
Zip
37763-4721
Phone Number
865-376-4620
Fax Number
865-376-1759
person
Provider's Taxonomy Details 1
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification
Physical Therapist
Speciality
Pediatrics
Taxonomy
2251P0200X
License No.
1095 (Tennessee)
Definition
A licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Pediatric Physical Therapy, who has demonstrated specialized knowledge and skill in anatomy, histology, including embryonic development, genetics, biomechanics, neurological function, neuroscience, and pathology, behavioral sciences, and understanding of diseases or conditions that necessitate physical therapy care, that affect systems that in turn necessitate physical therapy care (comorbidities), and that influence the type of intervention that can be given.
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