KERSEY PETERSON CTRS NPI 1437692621

NPI Information

NPI: 1437692621
Provider Name: KERSEY PETERSON, CTRS
Classification: Recreation Therapist - 225800000X
Entity Type: Individual
Address:
9089 CLAIREMONT MESA BLVD
SUITE 200
SAN DIEGO, CA
ZIP 92123
Phone: (800) 787-6787
Get Directions

Kersey Peterson, CTRS is a recreation therapist in San Diego, CA. The provider is 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. Kersey Peterson, CTRS NPI is 1437692621. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

9089 CLAIREMONT MESA BLVD
SUITE 200
SAN DIEGO, CA
ZIP 92123-234
Phone: (800) 787-6787

The enumeration date for this NPI number is 11/21/2016 and was last updated on 11/21/2016.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	225800000X	Recreation Therapist				Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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