Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MANDOLYN MAE PETERSON
Active Sole ProprietorMANDOLYN MAE PETERSON is a Athletic Trainer healthcare provider located in GREENVILLE, Texas. NPI 1710444682 is currently active in the NPPES registry. Verify at CMS.
Athletic Trainer · GREENVILLE, TX
Registration Details
- NPI Number
- 1710444682
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Feb 26, 2019 (7.4675978749855 yrs)
- Last Updated
- Feb 26, 2019
- Sole Proprietor
- Yes
Practice Information
- Address
-
1979 COUNTY ROAD 3327GREENVILLE, TX, 754028607Browse TX providers · Browse ZIP 75402
- Phone
- 9038834613
- Primary Specialty
-
Athletic Trainer
2255A2300X
Other Athletic Trainer Providers in GREENVILLE, TX
| Name | Credential | NPI |
|---|---|---|
| MR. TIMOTHY ALVIN LEE NEAL | MS, LAT, ATC | 1295167658 |
| MRS. KARLY CALENDER | M.ED, LAT | 1336556752 |
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.