Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JEFFREY PETERSON, ATC
ActiveJEFFREY PETERSON, ATC is a Athletic Trainer healthcare provider located in HAM LAKE, Minnesota. NPI 1245630177 is currently active in the NPPES registry. Verify at CMS.
Athletic Trainer · HAM LAKE, MN
Registration Details
- NPI Number
- 1245630177
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Aug 28, 2014 (11.942358051438 yrs)
- Last Updated
- Aug 28, 2014
Practice Information
- Address
-
17735 XYLITE ST NEHAM LAKE, MN, 553044436Browse MN providers · Browse ZIP 55304
- Phone
- 7632132033
- Primary Specialty
-
Athletic Trainer
2255A2300X
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.