NPI 1619478039

Brandie Peterson, MSATCCESPES

Practitioner Athletic Trainer Sparks, NV

Practice location

Address: 820 15th St, Sparks, NV 89431-0939
Phone: (775) 636-4342
Mailing address: 565 Sparks Blvd 870, Sparks, NV 89434

Registered specialties

Athletic Trainer Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 2255A2300X Licence 0506229 (NV)

Other Specialist/Technologist providers in Nevada →

Registry record

NPI: 1619478039
Entity type: Individual
Sex (as registered): Female
NPI issued: 21 Feb 2018
Record last updated: 17 Mar 2018

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.