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SEAN WIBERG PETERSON MS LAT, ATC
NPI 1710524970
Specialist/Technologist - Athletic Trainer in Superior, WI

Active since December 06, 2019
1810 CATLIN AVE, ROOM 1246, SUPERIOR, WI 54880(715) 395-4641 Get Directions Write a Review

NPPES record last updated: December 6, 2019. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Sean Wiberg Peterson Ms Lat, Atc NPPES

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

SEAN WIBERG PETERSON MS LAT, ATC (NPI 1710524970) is an individual athletic trainer provider in Superior, Wisconsin, licensed in Wisconsin (2201-39) and active in the NPI registry since December 2019.

NPPES Registry Identity

NPI1710524970
Entity TypeIndividualMale
Primary Taxonomy2255A2300X
Provider Legal NameSEAN WIBERG PETERSONCredential: MS LAT, ATC
Location Address1810 CATLIN AVE, ROOM 1246Superior, WI 54880
Mailing Address915 E 5th St Apt 3Duluth, MN 55805-3809 · (218) 590-5397
Phone(715) 395-4641
Sole ProprietorNo
Enumeration DateDecember 6, 2019
✔ NPI 1710524970 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
Licenses✔ Licensed in WI · 2201-39✔ Licensed in MN · 3203
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.
1810 CATLIN AVE, Superior, WI 54880
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Other Providers at the Same Location NPPES

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

MITCHELL THOMAS O'NEIL LAT, ATC
Specialist/Technologist (Athletic Trainer)
1810 CATLIN AVE
SUPERIOR, WI 54880
Douglas County (763) 355-7083

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 Sean Peterson's NPI number?

The NPI number for Sean Peterson is 1710524970. It was assigned to this individual provider in the NPPES registry on December 6, 2019.

Where is Sean Peterson located?

Sean Peterson practices at 1810 Catlin Ave Room 1246, Superior, WI 54880. The listed phone number is (715) 395-4641.

What is Sean 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 Sean Peterson was last updated on December 6, 2019. NPI Profile syncs with the weekly NPPES data releases published by CMS.