Joshua M Petersen, M.ED, LAT, ATC
NPI #1245730985 in Chehalis, Washington
Provider Information
- NPI Number
- 1245730985
- Entity Type
- Individual
- Name
- Joshua M Petersen, M.ED, LAT, ATC
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Specialist/Technologist - Athletic Trainer
- Credential
- M.ED, LAT, ATC
- Enumeration Date
- Feb 20, 2018
- Last Updated
- Jun 7, 2021
Practice Location
- Address
- 342 SW 16TH ST
- City
- Chehalis
- State
- Washington
- ZIP Code
- 98532-3809
- Phone
- (360) 807-7235
Specialties & Taxonomy Codes
| Specialty |
|---|
| Specialist/Technologist - Athletic Trainer — Athletic Trainer |
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