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TRACI A. PETERSON
NPI 1194755405
Recreation Therapist in Pueblo, CO

Active since July 03, 2006
1600 W 24TH ST, PUEBLO, CO 81003(719) 546-4811 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Traci A. Peterson NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

TRACI A. PETERSON (NPI 1194755405) is an individual recreation therapist in Pueblo, Colorado and active in the NPI registry since July 2006.

NPPES Registry Identity

NPI1194755405
Entity TypeIndividualFemale
Primary Taxonomy225800000X
Provider Legal NameTRACI A. PETERSON
Location Address1600 W 24TH STPueblo, CO 81003-1411
Mailing Address1600 W 24th StPueblo, CO 81003-1411 · (719) 546-4811
Phone(719) 546-4811
Sole ProprietorNo
Enumeration DateJuly 3, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1194755405 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyRecreation TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code225800000X
Definition
A recreation therapist uses recreational activities for intervention in some physical, social or emotional behavior to bring about a desired change in that behavior and promote the growth and development of the patient.
1600 W 24TH ST, Pueblo, CO 81003
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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

LARRY W. SALAS
Rehabilitation Practitioner
1600 W 24TH ST
PUEBLO, CO 81003
Pueblo County (719) 546-4000
DR. ROBERT M. LONG M.D.
Psychiatry & Neurology (Psychiatry)
1600 W 24TH ST
PUEBLO, CO 81003
Pueblo County (719) 546-4495
MARY E. WALKER-MESSER
Occupational Therapy Assistant
1600 W 24TH ST
PUEBLO, CO 81003
Pueblo County (719) 546-4284
MR. JUAN CARLOS HERRAEZ SANCHEZ PA-C
Physician Assistant (Medical)
1600 W 24TH ST
PUEBLO, CO 81003
Pueblo County (719) 546-4000
JIM RODRIGUEZ
Rehabilitation Practitioner
1600 W 24TH ST
PUEBLO, CO 81003
Pueblo County (719) 546-4717
COLORADO MENTAL HEALTH INSTITUTE PUEBLO
Psychiatric Unit
1600 W 24TH ST
PUEBLO, CO 81003
Pueblo County (719) 546-4000
ELLEN L. CORNETT OTR
Occupational Therapist
1600 W 24TH ST
PUEBLO, CO 81003
Pueblo County (719) 546-4409
CAITLIN VIGIL MD
Psychiatry & Neurology (Forensic Psychiatry)
1600 W 24TH ST
PUEBLO, CO 81003
Pueblo County (719) 546-4000

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Traci Peterson's NPI number?

The NPI number for Traci Peterson is 1194755405. It was assigned to this individual provider in the NPPES registry on July 3, 2006.

Where is Traci Peterson located?

Traci Peterson practices at 1600 W 24th St, Pueblo, CO 81003. The listed phone number is (719) 546-4811.

What is Traci Peterson's specialty?

The primary specialty registered for this NPI is Recreation Therapist with taxonomy code 225800000X.

When was this NPI record last updated?

The NPPES record for Traci Peterson was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.