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MRS. MADELYNE HALLE WILMA PETERSON ATC
NPI 1366956641
Specialist/Technologist - Athletic Trainer in Pasco, WA

Active since November 25, 2017
5910 NAUVOO LN, PASCO, WA 99301(206) 948-6745 Get Directions Write a Review

NPPES record last updated: July 16, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 16, 2020, Nov 25, 2017 (2 updates tracked since 2017).

About Mrs. Madelyne Halle Wilma Peterson Atc NPPES

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

MRS. MADELYNE HALLE WILMA PETERSON ATC (NPI 1366956641) is an individual athletic trainer provider in Pasco, Washington and active in the NPI registry since November 2017. She maintains a secondary practice location in Missoula.

NPPES Registry Identity

NPI1366956641
Entity TypeIndividualFemale
Primary Taxonomy2255A2300X
Provider Legal NameMRS. MADELYNE HALLE WILMA PETERSONCredential: ATC
Location Address5910 NAUVOO LNPasco, WA 99301-6907
Mailing Address1313 Sherwood StMissoula, MT 59802-2301
Phone(206) 948-6745
Sole ProprietorYes
Enumeration DateNovember 25, 2017
Last NPPES UpdateJuly 16, 20202 updates tracked since enumeration
NPPES CertifiedJuly 16, 2020
✔ NPI 1366956641 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.
5910 NAUVOO LN, Pasco, WA 99301
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Secondary Practice Location 1

Location 132 Campus Dr McGill 238CMissoula, MT 59812-0001 · Phone (406) 243-2703 · Fax (406) 243-2703

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 Madelyne Peterson's NPI number?

The NPI number for Madelyne Peterson is 1366956641. It was assigned to this individual provider in the NPPES registry on November 25, 2017.

Where is Madelyne Peterson located?

Madelyne Peterson practices at 5910 Nauvoo Ln, Pasco, WA 99301. The listed phone number is (206) 948-6745.

What is Madelyne Peterson'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 Madelyne Peterson was last updated on July 16, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.