Individual
MADELEINE PETERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
23769 MONTECARLO PL NW, POULSBO, WA 98370-9458
(360) 900-8908
Mailing address
1490 NE COUGAR WAY, STREIT 304, PULLMAN, WA 99163
(360) 900-8908
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
—
—
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
09/15/2025
Last updated
09/15/2025
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