Individual provider · Type 1 NPI

Micah Peterson

Student in an Organized Health Care Education/Training Program · Fayetteville, AR

NPI number 1710851753 Active

Practice location

1 University Of Arkansas
Fayetteville, AR 72701-1201

Call (479) 575-2000 Map

Mailing address

1694 N Whistling Straits Ave Apt 105
Fayetteville, AR 72704-6674

Specialties and licenses

TaxonomyCodeLicense
Athletic Trainer 2255A2300XNone listed
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1710851753

Micah Peterson's National Provider Identifier is 1710851753, issued on Oct 2, 2025. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Fayetteville, AR. The record was last updated on Oct 2, 2025.