SearchIllinoisAthletic Trainer

Jeffrey Petersen, ATC

NPI 1952543969 · on the registry since 2009 · sole proprietor

Practice

Address
308 S 3rd St
Watseka, IL 60970
Phone
(815) 432-1005

Registry record

Primary taxonomy
Athletic Trainer
2255A2300X
Licence states on file
IL
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2009-04-06

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 Illinois