Provider Demographics
NPI:1194410340
Name:W PETERS LLC
Entity type:Organization
Organization Name:W PETERS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO, OCCUPATIONAL THERAPIST
Authorized Official - Prefix:DR
Authorized Official - First Name:WHITNEY
Authorized Official - Middle Name:
Authorized Official - Last Name:PETERS
Authorized Official - Suffix:
Authorized Official - Credentials:OTD, OTR/L
Authorized Official - Phone:515-291-4838
Mailing Address - Street 1:510 E 2ND ST
Mailing Address - Street 2:
Mailing Address - City:HUXLEY
Mailing Address - State:IA
Mailing Address - Zip Code:50124-8117
Mailing Address - Country:US
Mailing Address - Phone:515-291-4838
Mailing Address - Fax:
Practice Address - Street 1:510 E 2ND ST
Practice Address - Street 2:
Practice Address - City:HUXLEY
Practice Address - State:IA
Practice Address - Zip Code:50124-8117
Practice Address - Country:US
Practice Address - Phone:515-291-4838
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-04-05
Last Update Date:2023-04-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistGroup - Multi-Specialty