Todd Peterson in East Pembroke - Athletic Trainer

Todd Peterson - NPI 1790828531

Todd Peterson is a Athletic Trainer in East Pembroke, New York. Todd Peterson practices all healthcare services and medical treatments related to Athletic Trainer. The NPI Number for Todd Peterson is 1790828531. The last update date is 2007-07-08.

Todd Peterson's current location address is P.o. Box 195, East Pembroke, New York. You can contact this provider via phone number 5857628883. The mailing address for Todd Peterson is P.o. Box 195, East Pembroke, New York. To know further, please read the information below!

Provider Profile Detail

Provider Name Todd Peterson
Address P.o. Box 195, East Pembroke, New York
Phone Number 5857628883
Fax Number
Sole Proprietor N
Credentials ATC, PTA

NPI Number Detail

NPI Number 1790828531
Provider Enumeration Date 2007-02-14
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address P.o. Box 195
City East Pembroke
State New York (NY)
Post Code 14056
Phone Number 5857628883
Fax Number

Provider's Primary Taxonomy Detail

Speciality Athletic Trainer
Taxonomy 2255A2300X
Licence No 001176-1
Definition:
Athletic trainers are allied health care professionals who work in consultation with or under the direction of physicians, and specialize in the prevention, assessment, treatment and rehabilitation of injuries and illnesses. Currently, the entry-leve

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FAQs about Todd Peterson

What is the unique 10-digit identification code assigned to Todd Peterson by the Centers for Medicare & Medicaid Services?

The Todd Peterson has been issued the NPI (National Provider Identifier) 1790828531, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Could you please share the complete physical location address where Todd Peterson's facilities are situated?

The facilities of Todd Peterson are physically located at the following address: P.O. Box 195, East Pembroke, NY, 14056.

What is Todd Peterson's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?

The area of specialization for Todd Peterson is Athletic Trainer, and the taxonomy code that classifies this field of practice is 2255A2300X.

On what date did Todd Peterson receive its 1790828531 assignment from the Centers for Medicare & Medicaid Services?

The Todd Peterson was assigned its 1790828531 on 2007-02-14, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.

As of what date were the Todd Peterson's details last updated?

The information pertaining to the Todd Peterson, including its address, specialty, and other details, was most recently updated on 2007-07-08.

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