| Doctor Name: | MS. SUSAN ADELE PETERSEN |
| NPI Number: | 1801061676 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | LMT |
| License Number: | 10903 |
| Business Practice Address: | 30240 Sw Parkway Ave Ste 5 Wilsonville, OR - 970709756 |
| Business Phone Number: | 5037301785 |
| Business Fax Number: | |
| Mailing Address: | 30240 Sw Parkway Ave Ste 5, WILSONVILLE |
| State: | OR |
| Postal Code: | 970709756 |
| Phone Number: | 5037301785 |
| Fax Number: | |
| NPI Enumeration Date: | 04/23/2008 |
| NPI Last Update Date: | 04/23/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 172M00000X |
| License Number: | 10903 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | OR |
| Taxonomy Type: | Other Service Providers |
| Taxonomy Classification: | Mechanotherapist |
| Taxonomy Specialization: | |
| Taxonomy Definition: | A practitioner of mechanotherapy examines patients by verbal inquiry, examination of the musculoskeletal system by hand, and visual inspection and observation. In the treatment of patients, mechanotherapists employ the techniques of advised or supervised exercise; electrical neuromuscular stimulation; massage or manipulation; or air, water, heat, cold, sound, or infrared ray therapy. |