What is Justin Peterson's NPI number?

The NPI number assigned to this healthcare provider is 1649879297, enumerated as a individual on October 23, 2020.

Where is the provider located?

The provider is located at 17273 STATE ROUTE 104 CHILLICOTHE, OH 45601 and the phone number is (740) 773-1141.

What is the provider's specialty?

The provider's specialty is Recreation Therapist with taxonomy code 225800000X.

MR. JUSTIN PETERSON CTRS - NPI 1649879297 - Recreation Therapist in Chillicothe, OH

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About Mr. Justin Peterson Ctrs NPPES

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

MR. JUSTIN PETERSON CTRS (NPI 1649879297) is an individual recreation therapist in Chillicothe, Ohio, licensed in Ohio (53969) and active in the NPI registry since October 2020.

NPPES Registry Identity

NPI1649879297

Entity TypeIndividualMale

Primary Taxonomy225800000X

Provider Legal NameMR. JUSTIN PETERSONCredential: CTRS

Location Address17273 STATE ROUTE 104Chillicothe, OH 45601-9718

Mailing Address3575 Green Haven WayMaineville, OH 45039-9209 · (740) 649-0606

Phone(740) 773-1141

Sole ProprietorNo

Enumeration DateOctober 23, 2020

NPPES CertifiedOctober 23, 2020

✔ NPI 1649879297 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

License✔ Licensed in OH · 53969

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.

17273 STATE ROUTE 104, Chillicothe, OH 45601

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