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MR. JEFFREY W. PETERSEN ATC
NPI 1952543969
Specialist/Technologist - Athletic Trainer in Watseka, IL

Active since April 06, 2009
308 S 3RD ST, WATSEKA, IL 60970(815) 432-1005 Get Directions Write a Review

NPPES record last updated: April 6, 2009. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mr. Jeffrey W. Petersen Atc NPPES

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

MR. JEFFREY W. PETERSEN ATC (NPI 1952543969) is an individual athletic trainer provider in Watseka, Illinois, licensed in Illinois (096001426) and active in the NPI registry since April 2009.

NPPES Registry Identity

NPI1952543969
Entity TypeIndividualMale
Primary Taxonomy2255A2300X
Provider Legal NameMR. JEFFREY W. PETERSENCredential: ATC
Location Address308 S 3RD STWatseka, IL 60970-1604
Mailing Address308 S 3rd StWatseka, IL 60970-1604 · (815) 432-1005
Phone(815) 432-1005
Sole ProprietorYes
Enumeration DateApril 6, 2009
✔ NPI 1952543969 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 IL · 096001426
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.
308 S 3RD ST, Watseka, IL 60970
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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 Jeffrey Petersen's NPI number?

The NPI number for Jeffrey Petersen is 1952543969. It was assigned to this individual provider in the NPPES registry on April 6, 2009.

Where is Jeffrey Petersen located?

Jeffrey Petersen practices at 308 S 3rd St, Watseka, IL 60970. The listed phone number is (815) 432-1005.

What is Jeffrey Petersen'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 Jeffrey Petersen was last updated on April 6, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.