Individual
PAIGE PETERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LAT, ATC
Contact information
Practice address
9055 SPRINGBROOK DR NW, COON RAPIDS, MN 55433-5841
(763) 780-9155
Mailing address
9055 SPRINGBROOK DR NW, COON RAPIDS, MN 55433-5841
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
3622
MN
Other
Enumeration date
06/04/2026
Last updated
06/04/2026
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