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Sean Peterson, MS LAT, ATC
NPI 1710524970 · on the registry since 2019
Practice
- Address
- 1810 Catlin Ave
Room 1246
Superior, WI 54880 - Phone
- (715) 395-4641
- Clinicians at this address
- 2
Registry record
- Primary taxonomy
- 2255A2300X
2255A2300X
- Also registered as
- 2255A2300X
- Licence states on file
- MN, WI
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2019-12-06
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 Wisconsin