Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
SEAN WIBERG PETERSON, MS LAT, ATC
ActiveSEAN WIBERG PETERSON, MS LAT, ATC is a Athletic Trainer healthcare provider located in SUPERIOR, Wisconsin. NPI 1710524970 is currently active in the NPPES registry. Verify at CMS.
Athletic Trainer · SUPERIOR, WI
Registration Details
- NPI Number
- 1710524970
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Dec 6, 2019 (6.6474741727845 yrs)
- Last Updated
- Dec 6, 2019
- Licenses
-
3203 (MN)2201-39 (WI)
Practice Information
- Address
-
1810 CATLIN AVEROOM 1246SUPERIOR, WI, 54880Browse WI providers · Browse ZIP 54880
- Phone
- 7153954641
- Primary Specialty
-
Athletic Trainer
2255A2300X
- Additional Specialty
- Athletic Trainer
Other Athletic Trainer Providers in SUPERIOR, WI
| Name | Credential | NPI |
|---|---|---|
| MRS. SHELBY LYNN DOWNEY | ATC, LAT | 1194124222 |
| DEVIN SOUL | ATC | 1508303652 |
| MITCHELL THOMAS O'NEIL | LAT, ATC | 1568903631 |
| MR. BEN CHRISTIAN KASPER | ATC | 1003329145 |
| JARRET S BYRNES | ATC | 1861980237 |
| DANIEL MICHAEL KEARNS | — | 1770198509 |
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.