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

Joshua M Petersen, MED, LAT, ATC

Individual provider Athletic Trainer · NPI 1245730985

Joshua M Petersen, MED, LAT, ATC is an Athletic Trainer in Chehalis, Washington. Licensed in Washington. Registered with an NPI since 2018.

Licensed in
WA
In the registry since
2018
What do these letters mean?
MED — Master of Education
A graduate education degree, written M.Ed.
LAT — Licensed Athletic Trainer
A state-licensed athletic trainer.
ATC — Certified Athletic Trainer
Prevents and treats sport and activity injuries.

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Practice location Address checks out

342 SW 16th St
Chehalis, WA 98532-3809
Phone: (360) 807-7235
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Athletic Trainer (primary) Taxonomy 2255A2300X · Licence 60863058 (WA)

Record details

NPI number1245730985
Entity typeIndividual (Type 1)
GenderMale
Credentials MED , LAT , ATC
Sole proprietorNo
NPI enumeratedFebruary 20, 2018
Last updated in NPPESJune 7, 2021
Certification dateJune 7, 2021

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