National Provider Identifier Database

MEKENNA PETERSON, ATC, SA – NPI #1780126680
Athletic Trainer

Athletic trainers are allied health care professionals who work in consultation with or under the direction of physicians, and specialize in the prevention, assessment, treatment and rehabilitation of injuries and illnesses. Currently, the entry-level employment requirements are a bachelor?s degree with a major in athletic training from an accredited university or college. A majority of athletic trainers hold advanced degrees. National board certification is generally required as a condition of state licensure and employment. Most states regulate athletic trainers, and they practice within the scope of that license or regulation. Clinical practice includes emergency care, rehabilitation, reconditioning, therapeutic exercise, wellness programs, exercise physiology, kinesiology, biomechanics, nutrition, psychology and health care administration.


Contact Information

MEKENNA PETERSON, ATC, SA
2150 STADIUM DRIVE FLOOR 2
BOULDER, CO80309-9117
Phone: 303-315-9900
Fax:
Website:
Specialty Taxonomy Code
* Athletic Trainer 2255A2300X
Orthopaedic Assistant 246ZX2200X
Student in an Organized Health Care Education/Training Program 390200000X

* Indicates primary specialty

NPI Profile & details for MEKENNA PETERSON

NPI Number 1780126680
Credentials ATC, SA
Entity Individual
Enumeration date 11/08/2016
Last updated 09/01/2021 - About 5 years ago
Sole proprietor1 Yes
Identifiers
  • CO License #: 20-0208
  • CO License #: AT.0001978
Hospital affiliation n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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