KRISTEN MARIE PETERSON NPI 1104353556

NPI Information

Kristen Marie Peterson is a personal care attendant technician in Tipp City, OH. The provider is an individual who provides assistance with eating, bathing, dressing, personal hygiene, activities of daily living as specified in the plan of care. Services which are incidental to the care furnished, or essential to the health and welfare of the individual may also be provided. Personal care providers must meet state defined training and certification standards Kristen Marie Peterson NPI is 1104353556. 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:

564 BURNSIDE DR
TIPP CITY, OH
ZIP 45371-711
Phone: (937) 838-5492

The enumeration date for this NPI number is 5/16/2017 and was last updated on 5/16/2017.

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:

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

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