Individual
MEKENNA PETERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ATC, SA
Contact information
Practice address
2150 STADIUM DRIVE FLOOR 2, BOULDER, CO 80309-9117
(303) 315-9900
Mailing address
15209 W 48TH AVE, GOLDEN, CO 80403-1722
(563) 580-3756
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT.0001978
CO
246ZX2200X
Orthopedic Assistant
20-0208
CO
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
11/08/2016
Last updated
09/01/2021
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us