Individual
MATTHEW PETTERSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LAT, ATC
Contact information
Practice address
810 NW 195TH ST, SHORELINE, WA 98177-2662
(205) 251-3747
Mailing address
1704 N STATE ST, BELLINGHAM, WA 98225-4605
(360) 922-3120
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
04/11/2018
Last updated
04/17/2019
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