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IAN B PETERSEN ATC-L
NPI 1255305850
Specialist/Technologist - Athletic Trainer in South Holland, IL

Active since February 13, 2006
345 TAFT ROAD, SOUTH HOLLAND, IL 60473(708) 596-0107(708) 671-0767 Get Directions Write a Review

NPPES record last updated: November 26, 2007. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Ian B Petersen Atc-l NPPES

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

IAN B PETERSEN ATC-L (NPI 1255305850) is an individual athletic trainer provider in South Holland, Illinois and active in the NPI registry since February 2006.

NPPES Registry Identity

NPI1255305850
Entity TypeIndividualMale
Primary Taxonomy2255A2300X
Provider Legal NameIAN B PETERSENCredential: ATC-L
Location Address345 TAFT ROADSouth Holland, IL 60473
Mailing Address14720 Central AveOak Forest, IL 60452-1268 · (219) 617-5253
Phone(708) 596-0107
Fax(708) 671-0767
Sole ProprietorNo
Enumeration DateFebruary 13, 2006
Last NPPES UpdateNovember 26, 2007
✔ NPI 1255305850 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.
345 TAFT ROAD, South Holland, IL 60473
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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 Ian Petersen's NPI number?

The NPI number for Ian Petersen is 1255305850. It was assigned to this individual provider in the NPPES registry on February 13, 2006.

Where is Ian Petersen located?

Ian Petersen practices at 345 Taft Road, South Holland, IL 60473. The listed phone number is (708) 596-0107.

What is Ian Petersen'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 Ian Petersen was last updated on November 26, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.