Individual provider · Type 1 NPI

Mekenna Peterson, ATC, SA

Athletic Trainer · Boulder, CO

NPI number 1780126680 Active

Practice location

2150 Stadium Drive Floor 2
Boulder, CO 80309-9117

Mailing address

15209 W 48th Ave
Golden, CO 80403-1722

Other practice locations

  • 175 Inverness Dr W, Englewood, CO 80112-5065 · (303) 694-9666

Specialties and licenses

TaxonomyCodeLicense
Orthopedic Assistant 246ZX2200X20-0208 (CO)
Student in an Organized Health Care Education/Training Program 390200000XNone listed
Athletic Trainer Primary 2255A2300XAT.0001978 (CO)

Athletic Trainer: 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-level employment requirements are a bachelor's degree with a major in athletic training from an accredited university or college. A majority of athletic trainers hold advanc…

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About NPI 1780126680

Mekenna Peterson, ATC, SA's National Provider Identifier is 1780126680, issued on Nov 8, 2016. The primary taxonomy on file is Athletic Trainer (2255A2300X), and the practice location is in Boulder, CO. The record was last updated on Sep 1, 2021.