Individual
CHAD PETERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1045 237TH AVE NE, EAST BETHEL, MN 55005-9842
(612) 434-3553
Mailing address
1045 237TH AVE NE, EAST BETHEL, MN 55005-9842
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
01/21/2026
Last updated
01/21/2026
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