NATHAN REGINALD PETERSON DPT Physical Therapist License verification

Business Entity

ACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070029268

License Status

ACTIVE

Business

Title

DPT

First Name

NATHAN

Middle

REGINALD

Last Name

PETERSON

Business Name

NATHAN REGINALD PETERSON DPT

Original Issue Date

07/16/2025

Effective Date

07/16/2025

Expiration Date

09/30/2026

City

ROSCOE

State

Zip

61073

Ever Disciplined

LastModifiedDate

06/29/2025