Individual
TRISTEN GILES PETERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
22746 RANDO CT, BOX ELDER, SD 57719-9317
(701) 449-9028
Mailing address
22746 RANDO CT, BOX ELDER, SD 57719-9317
(701) 449-9028
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
02/27/2025
Last updated
06/29/2025
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