Matthew Pettersen, LAT, ATC
NPI #1073010526 in Shoreline, Washington
Provider Information
- NPI Number
- 1073010526
- Entity Type
- Individual
- Name
- Matthew Pettersen, LAT, ATC
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Specialist/Technologist - Athletic Trainer
- Credential
- LAT, ATC
- Enumeration Date
- Apr 11, 2018
- Last Updated
- Apr 17, 2019
Practice Location
- Address
- 810 NW 195TH ST
- City
- Shoreline
- State
- Washington
- ZIP Code
- 98177-2662
- Phone
- (205) 251-3747
Specialties & Taxonomy Codes
| Specialty |
|---|
| Specialist/Technologist - Athletic Trainer — Athletic Trainer |
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