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MEKENNA PETERSON ATC, SA
NPI 1780126680
Specialist/Technologist - Athletic Trainer in Boulder, CO

Active since November 08, 2016
2150 STADIUM DRIVE FLOOR 2, BOULDER, CO 80309(303) 315-9900 Get Directions Write a Review

NPPES record last updated: September 1, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mekenna Peterson Atc, Sa NPPES

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

MEKENNA PETERSON ATC, SA (NPI 1780126680) is an individual athletic trainer provider in Boulder, Colorado, licensed in Colorado (AT.0001978) and active in the NPI registry since November 2016. She maintains a secondary practice location in Englewood.

NPPES Registry Identity

NPI1780126680
Entity TypeIndividualFemale
Primary Taxonomy2255A2300X
Provider Legal NameMEKENNA PETERSONCredential: ATC, SA
Location Address2150 STADIUM DRIVE FLOOR 2Boulder, CO 80309-9117
Mailing Address15209 W 48th AveGolden, CO 80403-1722 · (563) 580-3756
Phone(303) 315-9900
Sole ProprietorYes
Enumeration DateNovember 8, 2016
Last NPPES UpdateSeptember 1, 2021
NPPES CertifiedSeptember 1, 2021
✔ NPI 1780126680 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtySpecialist/Technologist · Athletic TrainerRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code2255A2300X
License✔ Licensed in CO · AT.0001978
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.
Also ListedSpecialist/Technologist, Other · Orthopedic AssistantTaxonomy 246ZX2200X · License 20-0208 (CO)
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
2150 STADIUM DRIVE FLOOR 2, Boulder, CO 80309
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Secondary Practice Location 1

Location 1175 Inverness Dr WEnglewood, CO 80112-5065 · Phone (303) 694-9666

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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 Mekenna Peterson's NPI number?

The NPI number for Mekenna Peterson is 1780126680. It was assigned to this individual provider in the NPPES registry on November 8, 2016.

Where is Mekenna Peterson located?

Mekenna Peterson practices at 2150 Stadium Drive Floor 2, Boulder, CO 80309. The listed phone number is (303) 315-9900.

What is Mekenna 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 Mekenna Peterson was last updated on September 1, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.