MRS. Madelyne Halle Wilma Peterson, ATC
NPI #1366956641 in Pasco, Washington
Provider Information
- NPI Number
- 1366956641
- Entity Type
- Individual
- Name
- MRS. Madelyne Halle Wilma Peterson, ATC
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Specialist/Technologist - Athletic Trainer
- Credential
- ATC
- Enumeration Date
- Nov 25, 2017
- Last Updated
- Jul 16, 2020
Practice Location
- Address
- 5910 NAUVOO LN
- City
- Pasco
- State
- Washington
- ZIP Code
- 99301-6907
- Phone
- (206) 948-6745
Specialties & Taxonomy Codes
| Specialty |
|---|
| Specialist/Technologist - Athletic Trainer — Athletic Trainer |
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