Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Jacob Peterson

Individual provider Athletic Trainer · NPI 1699597963

Jacob Peterson is an Athletic Trainer in Madison, Wisconsin. Registered with an NPI since 2024.

In the registry since
2024
Specialties on file
2

Practice location Address checks out

1475 Engineering Dr
Madison, WI 53706-1607
Phone: (608) 264-8065
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X
Athletic Trainer Taxonomy 2255A2300X

Record details

NPI number1699597963
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedOctober 29, 2024
Last updated in NPPESOctober 29, 2024
Certification dateOctober 29, 2024
Mailing address1815 University Ave Apt 200, Madison, WI 53726-4092

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