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

Mathew James Petersen, ATC

Individual provider Athletic Trainer · NPI 1326445198

Mathew James Petersen, ATC is an Athletic Trainer in Saint Louis, Missouri. Practices as a sole proprietor. Licensed in Missouri.

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

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Practice location Address checks out

10214 Musick Rd
Saint Louis, MO 63123-5066
Phone: (314) 882-7043
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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 2012022607 (MO)

Record details

NPI number1326445198
Entity typeIndividual (Type 1)
GenderMale
Credentials ATC
Sole proprietorYes
NPI enumeratedNovember 21, 2014
Last updated in NPPESNovember 21, 2014
Mailing address10214 Musick Rd, Saint Louis, MO 63123-5066

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