DANIEL JOHN PETERSON MBA, AT, ATC
NPI 1609325950
Specialist/Technologist - Athletic Trainer in Olivet, MI

Q: What is Daniel Peterson's NPI number?

The NPI number for Daniel Peterson is 1609325950. It was assigned to this individual provider in the NPPES registry on September 28, 2016.

Q: What is Daniel Peterson'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 Daniel Peterson was last updated on September 28, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.

Active since September 28, 2016

320 S MAIN ST, OLIVET, MI 49076(269) 749-4169 Get Directions Write a Review

NPPES record last updated: September 28, 2016. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Daniel John Peterson Mba, At, Atc NPPES

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

DANIEL JOHN PETERSON MBA, AT, ATC (NPI 1609325950) is an individual athletic trainer provider in Olivet, Michigan, licensed in Michigan (2601001177) and active in the NPI registry since September 2016.

NPPES Registry Identity

NPI1609325950

Entity TypeIndividualMale

Primary Taxonomy2255A2300X

Provider Legal NameDANIEL JOHN PETERSONCredential: MBA, AT, ATC

Location Address320 S MAIN STOlivet, MI 49076-9406

Mailing Address320 S Main StOlivet, MI 49076-9406 · (269) 749-4169

Phone(269) 749-4169

Sole ProprietorNo

Enumeration DateSeptember 28, 2016

✔ NPI 1609325950 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 MI · 2601001177

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.

320 S MAIN ST, Olivet, MI 49076

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Other Providers at the Same Location NPPES 6

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

MR. PHILLIP HOWARD ANDRE MS, ATC

Specialist/Technologist (Athletic Trainer)