Peterson, Mekenna
Peterson, Mekenna is an sole proprietor health care provider with primary practice located at 2150 Stadium Drive Floor 2 , Boulder CO 80309-9117. She recently has 3 registered licenses in different health care specialties including Technologists, Technicians & Other Technical Service Providers / Orthopedic Assistant, Student, Health Care / Student in an Organized Health Care Education/Training Program, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer. Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer is her primary health care specialty. Peterson, Mekenna can be contacted via phone (303) 315-9900.Contact Information
Primary practice address
2150 Stadium Drive Floor 2
Boulder CO 80309-9117
Phone: (303) 315-9900
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Technologists, Technicians & Other Technical Service Providers / Orthopedic Assistant | 246ZX2200X | 20-0208 | Colorado |
Student, Health Care / Student in an Organized Health Care Education/Training Program | 390200000X | ||
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer | 2255A2300X | AT.0001978 | Colorado |
Profile Details
NPI number | 1780126680 |
---|---|
LBN Legal business name | Peterson, Mekenna |
Credentials | ATC, SA |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Nov 8th, 2016 |
Last updated | Sep 1st, 2021 - about 3 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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