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MANDOLYN MAE PETERSON
NPI 1710444682
Specialist/Technologist - Athletic Trainer in Greenville, TX

Active since February 26, 2019
1979 COUNTY ROAD 3327, GREENVILLE, TX 75402(903) 883-4613 Get Directions Write a Review

NPPES record last updated: February 26, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mandolyn Mae Peterson NPPES

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

MANDOLYN MAE PETERSON (NPI 1710444682) is an individual athletic trainer provider in Greenville, Texas and active in the NPI registry since February 2019.

NPPES Registry Identity

NPI1710444682
Entity TypeIndividualFemale
Primary Taxonomy2255A2300X
Provider Legal NameMANDOLYN MAE PETERSON
Location Address1979 COUNTY ROAD 3327Greenville, TX 75402-8607
Mailing Address1979 County Road 3327Greenville, TX 75402-8607 · (903) 883-4613
Phone(903) 883-4613
Sole ProprietorYes
Enumeration DateFebruary 26, 2019
✔ NPI 1710444682 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.
1979 COUNTY ROAD 3327, Greenville, TX 75402
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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 Mandolyn Peterson's NPI number?

The NPI number for Mandolyn Peterson is 1710444682. It was assigned to this individual provider in the NPPES registry on February 26, 2019.

Where is Mandolyn Peterson located?

Mandolyn Peterson practices at 1979 County Road 3327, Greenville, TX 75402. The listed phone number is (903) 883-4613.

What is Mandolyn 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 Mandolyn Peterson was last updated on February 26, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.