Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Jeffrey Petersen, PT

Individual provider Physical Therapist · NPI 1912367251

Jeffrey Petersen, PT is a Physical Therapist in Bonners Ferry, Idaho. Practices as a sole proprietor. Licensed in Idaho.

Licensed in
ID
In the registry since
2016
What do these letters mean?
PT — Physical Therapist
A licensed therapist who treats movement, pain and injury.

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Practice location Address checks out

6640 Kaniksu St
Bonners Ferry, ID 83805-7532
Phone: (208) 267-3141
Fax: (208) 267-1747
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence PT-2720 (ID)

Record details

NPI number1912367251
Entity typeIndividual (Type 1)
GenderMale
Credentials PT
Sole proprietorYes
NPI enumeratedFebruary 29, 2016
Last updated in NPPESFebruary 29, 2016

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