Individual
MEGAN PETERSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LAT, ATC
Contact information
Practice address
500 JEFFERSON ST, PELLA, IA 50219-1255
(641) 628-6623
Mailing address
808 LIBERTY ST APT 203, PELLA, IA 50219-1756
(515) 339-5604
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
096731
IA
Other
Enumeration date
02/26/2019
Last updated
08/08/2019
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