Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MATTHEW PETTERSEN, LAT, ATC
Active Sole ProprietorMATTHEW PETTERSEN, LAT, ATC is a Athletic Trainer healthcare provider located in SHORELINE, Washington. NPI 1073010526 is currently active in the NPPES registry. Verify at CMS.
Athletic Trainer · SHORELINE, WA
Registration Details
- NPI Number
- 1073010526
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Apr 11, 2018 (8.3022346044979 yrs)
- Last Updated
- Apr 17, 2019
- Sole Proprietor
- Yes
Practice Information
- Address
-
810 NW 195TH STSHORELINE, WA, 981772662Browse WA providers · Browse ZIP 98177
- Phone
- 2052513747
- Primary Specialty
-
Athletic Trainer
2255A2300X
Other Athletic Trainer Providers in SHORELINE, WA
| Name | Credential | NPI |
|---|---|---|
| MR. DANIEL WILLIAM BURKERT | M.S. A.T.C. | 1659352458 |
| VICTORIA LYNN WENTZ | ATC | 1528160843 |
| ANTONIO GUDINO JR. | ATC/LAT | 1558599910 |
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.