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:
Map and Directions

Health care specialties

SpecialtyCodeLicense #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 5 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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