Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

THYRA PETERICK
NPI 1407730799
Specialist/Technologist - Athletic Trainer in Alexandria, MN

Q: What is Thyra Peterick's NPI number?

The NPI number for Thyra Peterick is 1407730799. It was assigned to this individual provider in the NPPES registry on August 1, 2025.

Q: What is Thyra Peterick's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Thyra Peterick was last updated on July 29, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 days 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.

Active since August 01, 2025

111 17TH AVE E STE 101, ALEXANDRIA, MN 56308(320) 762-1144 Get Directions Write a Review

NPPES record last updated: July 29, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 29, 2026, Aug 4, 2025 (2 updates tracked since 2025).

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About Thyra Peterick NPPES

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

THYRA PETERICK (NPI 1407730799) is an individual athletic trainer provider in Alexandria, Minnesota, licensed in Minnesota (3977) and active in the NPI registry since August 2025.

NPPES Registry Identity

NPI1407730799

Entity TypeIndividualFemale

Primary Taxonomy2255A2300X

Provider Legal NameTHYRA PETERICK

Location Address111 17TH AVE E STE 101Alexandria, MN 56308-5274

Mailing Address1670 137th Ave NeHatton, ND 58240-9014 · (218) 779-3188

Phone(320) 762-1144

Sole ProprietorNo

Enumeration DateAugust 1, 2025

Last NPPES UpdateJuly 29, 20262 updates tracked since enumeration

NPPES CertifiedJuly 29, 2026

✔ NPI 1407730799 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

License✔ Licensed in MN · 3977

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.

111 17TH AVE E STE 101, Alexandria, MN 56308

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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.

MR. DUANE C MALO LAT

Specialist/Technologist (Athletic Trainer)