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MATTHEW PETTERSEN LAT, ATC
NPI 1073010526
Specialist/Technologist - Athletic Trainer in Shoreline, WA

Active since April 11, 2018
810 NW 195TH ST, SHORELINE, WA 98177(205) 251-3747 Get Directions Write a Review

NPPES record last updated: April 17, 2019. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Apr 17, 2019, Apr 11, 2018 (2 updates tracked since 2018).

About Matthew Pettersen Lat, Atc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MATTHEW PETTERSEN LAT, ATC (NPI 1073010526) is an individual athletic trainer provider in Shoreline, Washington and active in the NPI registry since April 2018.

NPPES Registry Identity

NPI1073010526
Entity TypeIndividualMale
Primary Taxonomy2255A2300X
Provider Legal NameMATTHEW PETTERSENCredential: LAT, ATC
Location Address810 NW 195TH STShoreline, WA 98177-2662
Mailing Address1704 N State StBellingham, WA 98225-4605 · (360) 922-3120
Phone(205) 251-3747
Sole ProprietorYes
Enumeration DateApril 11, 2018
Last NPPES UpdateApril 17, 20192 updates tracked since enumeration
✔ NPI 1073010526 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialist/Technologist · Athletic TrainerRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code2255A2300X
Definition
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.
810 NW 195TH ST, Shoreline, WA 98177
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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Matthew Pettersen's NPI number?

The NPI number for Matthew Pettersen is 1073010526. It was assigned to this individual provider in the NPPES registry on April 11, 2018.

Where is Matthew Pettersen located?

Matthew Pettersen practices at 810 NW 195th St, Shoreline, WA 98177. The listed phone number is (205) 251-3747.

What is Matthew Pettersen's specialty?

The primary specialty registered for this NPI is Specialist/Technologist, specializing in Athletic Trainer, with taxonomy code 2255A2300X.

When was this NPI record last updated?

The NPPES record for Matthew Pettersen was last updated on April 17, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.