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

Individual provider Athletic Trainer · NPI 1710444682

Mandolyn Mae Peterson is an Athletic Trainer in Greenville, Texas. Practices as a sole proprietor. Registered with an NPI since 2019.

In the registry since
2019
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Practice location Address checks out

1979 County Road 3327
Greenville, TX 75402-8607
Phone: (903) 883-4613
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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 number1710444682
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedFebruary 26, 2019
Last updated in NPPESFebruary 26, 2019

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