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

Jeffrey Peterson, ATC

Individual provider Athletic Trainer · NPI 1245630177

Jeffrey Peterson, ATC is an Athletic Trainer in Ham Lake, Minnesota. Registered with an NPI since 2014.

In the registry since
2014
What do these letters mean?
ATC — Certified Athletic Trainer
Prevents and treats sport and activity injuries.

See every abbreviation used in this directory →

Practice location Address checks out

17735 Xylite St NE
Ham Lake, MN 55304-4436
Phone: (763) 213-2033
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Athletic Trainer (primary) Taxonomy 2255A2300X

Record details

NPI number1245630177
Entity typeIndividual (Type 1)
GenderMale
Credentials ATC
Sole proprietorNo
NPI enumeratedAugust 28, 2014
Last updated in NPPESAugust 28, 2014
Mailing address17735 Xylite St Ne, Ham Lake, MN 55304-4436

Other providers in Ham Lake