Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. JEFFREY W. PETERSEN, ATC
Active Sole ProprietorMR. JEFFREY W. PETERSEN, ATC is a Athletic Trainer healthcare provider located in WATSEKA, Illinois. NPI 1952543969 is currently active in the NPPES registry. Verify at CMS.
Athletic Trainer · WATSEKA, IL
Registration Details
- NPI Number
- 1952543969
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Apr 6, 2009 (17.338139269026 yrs)
- Last Updated
- Apr 6, 2009
- License
-
096001426 (IL)
- Sole Proprietor
- Yes
Practice Information
- Address
-
308 S 3RD STWATSEKA, IL, 609701604Browse IL providers · Browse ZIP 60970
- Phone
- 8154321005
- Primary Specialty
-
Athletic Trainer
2255A2300X
Other Athletic Trainer Providers in WATSEKA, IL
| Name | Credential | NPI |
|---|---|---|
| DARA DE BOER | ATC | 1437242526 |
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.