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TEDIJO PEDERSON ATC
NPI 1205453552
Specialist/Technologist - Athletic Trainer in Butte, MT

Active since July 02, 2020
400 S CLARK ST, BUTTE, MT 59701(406) 723-2500 Get Directions Write a Review

NPPES record last updated: July 8, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jul 8, 2022, Jul 2, 2020 (2 updates tracked since 2020).

About Tedijo Pederson Atc NPPES

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

TEDIJO PEDERSON ATC (NPI 1205453552) is an individual athletic trainer provider in Butte, Montana, licensed in Montana (ATR-LAT-LIC-2508) and active in the NPI registry since July 2020.

NPPES Registry Identity

NPI1205453552
Entity TypeIndividualFemale
Primary Taxonomy2255A2300X
Provider Legal NameTEDIJO PEDERSONCredential: ATC
Location Address400 S CLARK STButte, MT 59701-2328
Mailing Address2034 Colt Dr, P.o. Box 55Victor, MT 59875 · (406) 930-2150
Phone(406) 723-2500
Sole ProprietorNo
Enumeration DateJuly 2, 2020
Last NPPES UpdateJuly 8, 20222 updates tracked since enumeration
NPPES CertifiedJune 9, 2022
✔ NPI 1205453552 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySpecialist/Technologist · Athletic TrainerRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code2255A2300X
License✔ Licensed in MT · ATR-LAT-LIC-2508
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.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
400 S CLARK ST, Butte, MT 59701
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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

TAYLOR LOUISE ST. JOHN RN
Registered Nurse
400 S CLARK ST
BUTTE, MT 59701
Silver Bow County (406) 723-2500
LEE BAIDINGER FENWICK CRNA
Nurse Anesthetist, Certified Registered
400 S CLARK ST
BUTTE, MT 59701
Silver Bow County (406) 723-2500
EDEN VOLK
Registered Nurse (Continuing Education/Staff Development)
400 S CLARK ST
BUTTE, MT 59701
Silver Bow County (406) 723-2500
ST. JAMES HEALTHCARE
General Acute Care Hospital (Rural)
400 S CLARK ST
BUTTE, MT 59701
Silver Bow County (406) 723-2500
RANDALL J SHANNON MD
Pathology (Anatomic Pathology & Clinical Pathology)
400 S CLARK ST
BUTTE, MT 59701
Silver Bow County (406) 782-7442
ANESTHESIA CONSULTING PARTNERS PLLC
Anesthesiology
400 S CLARK ST
BUTTE, MT 59701
Silver Bow County (406) 723-2500
HOLLY FERGUSON I PT
Physical Therapist
400 S CLARK ST
BUTTE, MT 59701
Silver Bow County (406) 723-2522
DR. IAN STUART MACDONALD DO
Internal Medicine
400 S CLARK ST
BUTTE, MT 59701
Silver Bow County (406) 723-2500

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 Tedijo Pederson's NPI number?

The NPI number for Tedijo Pederson is 1205453552. It was assigned to this individual provider in the NPPES registry on July 2, 2020.

Where is Tedijo Pederson located?

Tedijo Pederson practices at 400 S Clark St, Butte, MT 59701. The listed phone number is (406) 723-2500.

What is Tedijo Pederson'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 Tedijo Pederson was last updated on July 8, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.