Kristen Peterson, LAT, ATC

NPI 1336738491 · on the registry since 2021 · sole proprietor

Practice

Address: 1100 Circle 75 Pkwy Se Ste 1400
Atlanta, GA 30339
Phone: (678) 403-3555
Organisation at this address: Grace S. Gavric, Dds, Llc.
Deeply Fulfilling Enterprises Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 11

Registry record

Primary taxonomy: Athletic Trainer
2255A2300X
Licence states on file: GA
From the registry's licence fields, which are often incomplete.
Sex: Female
Record last updated: 2021-01-13

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Georgia