Individual
HEIDI JILL PETERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
505 E 3RD AVE, SPOKANE, WA 99202-1426
(509) 838-2531
(509) 624-0403
Mailing address
505 E. THIRD AVE., SPOKANE, WA 99202-1334
(509) 838-2531
(509) 624-0403
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
A160053808
WA
Other
Enumeration date
04/09/2007
Last updated
11/12/2009
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