Provider Demographics
NPI:1891337416
Name:CHRISTENSON, PETER ZANGS
Entity Type:Individual
Prefix:
First Name:PETER
Middle Name:ZANGS
Last Name:CHRISTENSON
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1872 HIGHWAY 13 N
Mailing Address - Street 2:
Mailing Address - City:WATERVILLE
Mailing Address - State:MN
Mailing Address - Zip Code:56096-8710
Mailing Address - Country:US
Mailing Address - Phone:651-329-9765
Mailing Address - Fax:
Practice Address - Street 1:7200 WASHINGTON AVE STE 103
Practice Address - Street 2:
Practice Address - City:MOUNT PLEASANT
Practice Address - State:WI
Practice Address - Zip Code:53406-6516
Practice Address - Country:US
Practice Address - Phone:262-583-0790
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-10-15
Last Update Date:2019-10-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist