Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. SCOTT MICHAEL PETERSON, ATC
ActiveMR. SCOTT MICHAEL PETERSON, ATC is a Athletic Trainer healthcare provider located in SYRACUSE, New York. NPI 1033126974 is currently active in the NPPES registry. Verify at CMS.
Athletic Trainer · SYRACUSE, NY
Registration Details
- NPI Number
- 1033126974
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Aug 2, 2006 (19.888220198804 yrs)
- Last Updated
- Jul 8, 2007
- License
-
000727-1 (NY)
Practice Information
- Address
-
LEMOYNE COLLEGE SPORTS MEDICINE1419 SALT SPRINGS ROADSYRACUSE, NY, 132141399Browse NY providers · Browse ZIP 13214
- Phone
- 3154454417
- Fax
- 3154456048
- Primary Specialty
-
Athletic Trainer
2255A2300X
Other Athletic Trainer Providers in SYRACUSE, NY
| Name | Credential | NPI |
|---|---|---|
| MR. MICHAEL HAYDEN WILSON | ATC | 1053322214 |
| MR. TROY ALAN GERLT | MS, ATC | 1801927496 |
| MR. MATTHEW JOSEPH SWEET | MS, ATC | 1114109519 |
| MS. MARY K. BUTLAK | ATC | 1659624526 |
| ADELYN PASSARO | — | 1245638790 |
| KENNETH DOLAN | ATC | 1215324066 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.