Thomas Michael Peterson, ATC
NPI #1891755823 in Fargo, North Dakota
Provider Information
- NPI Number
- 1891755823
- Entity Type
- Individual
- Name
- Thomas Michael Peterson, ATC
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Specialist/Technologist - Athletic Trainer
- Credential
- ATC
- Enumeration Date
- Mar 24, 2006
- Last Updated
- Aug 15, 2014
Practice Location
- Address
- 3537 10TH ST S
- City
- Fargo
- State
- North Dakota
- ZIP Code
- 58104-6201
- Phone
- (701) 261-1145
Specialties & Taxonomy Codes
| Specialty |
|---|
| Specialist/Technologist - Athletic Trainer — Athletic Trainer |
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