Michael Peterson, M.S., ATC
Specialist/Technologist, Athletic Trainer in Grand Island, NE. Individual provider (NPI-1).
NPI number1285906321
StatusActive
Last updated in NPPESJul 11, 2014
Details
- NPI
- 1285906321
- Entity type
- Individual (NPI-1)
- Name
- Michael Peterson
- Credential
- M.S., ATC
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Feb 6, 2012
- Last updated
- Jul 11, 2014
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2255A2300X | Specialist/Technologist, Athletic Trainer | 096.002411 | IL | Yes |
Practice location
620 N Diers AveSuite 300
Grand Island, NE 68803-4984
Phone 308-382-0344
Mailing address
4021 Anne Marie AveGrand Island, NE 68803-9702
Phone 815-712-7636
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Other Athletic Trainer providers in Grand Island, NE
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All 6 Athletic Trainer providers in Grand Island · All 2,898 providers in Grand Island
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