Individual
BRANDIE PETERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, ATC, CES, PES
Contact information
Practice address
820 15TH ST, SPARKS, NV 89431-0939
(775) 636-4342
Mailing address
565 SPARKS BLVD, 870, SPARKS, NV 89434
(775) 636-4342
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
0506229
NV
Other
Enumeration date
02/21/2018
Last updated
03/17/2018
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