Mr. Theodore William Peterson
O.T.R. | Occupational Therapist
Idaho State University, Campus Box 8045, Pocatello
Idaho, 83209-0001
208-282-4631 Maps & DirectionsMr. Theodore William Peterson is a Pocatello, Idaho based therapist who is specialized in Occupational Therapy. Active license number of Mr. Theodore William Peterson is OT-886 for Occupational Therapy in Idaho. His current practice location is Idaho State University, Campus Box 8045, Pocatello. Patients can reach him at 208-282-4631. Mr. Theodore William Peterson is O.T.R. in Occupational Therapy and his NPI number (Unique professional ID assigned by NPPES) is 1558434928.
Mr. Theodore William Peterson provides interventions based on evaluation and which emphasize the therapeutic use of everyday life activities (i.e., occupations) with individuals or groups for the purpose of facilitating participation in roles and situations and in home, school, workplace, community and other settings. Occupational therapy services are provided for the purpose of promoting health and wellness and are provided to those who have or are at risk for developing an illness, injury, disease, disorder, condition, impairment, disability, activity limitation, or participation restriction.
Complete Profile:
Mr. Theodore William Peterson speciality, credentials, practice address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointment.
| Name: | Mr. Theodore William Peterson |
| Specialization: | Occupational Therapy |
| Gender: | Male |
| Credentials: | O.T.R. |
| Practice Address: | Idaho State University, Campus Box 8045, Pocatello,
Idaho, 83209-0001 |
| Phone: | 208-282-4631 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
| NPI Number: | 1558434928 |
| NPI Enumeration Date: | 15 Nov, 2006 |
| NPI Last Update On: | 18 Aug, 2008 |
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Mr. Theodore William Peterson are as mentioned below.
| License Number | Specialization | State | Status | |
| OT-886 | Occupational Therapy | Idaho | Primary | |
| 00800 | Occupational Therapy | Iowa | Secondary | |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | Mr. Theodore William Peterson
2080 Ardella Dr,
Pocatello, Idaho |
| Zip: | 83201-2615 |
| Phone Number: | 208-904-1574 |
Patients can reach Mr. Theodore William Peterson at
Idaho State University, Campus Box 8045, Pocatello, Idaho or can
call to book an appointment on 208-282-4631.
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Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 09 March, 2026.