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

Matthew Pettersen, LAT, ATC

Individual provider Athletic Trainer · NPI 1073010526

Matthew Pettersen, LAT, ATC is an Athletic Trainer in Shoreline, Washington. Practices as a sole proprietor. Registered with an NPI since 2018.

In the registry since
2018
What do these letters mean?
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

810 NW 195th St
Shoreline, WA 98177-2662
Phone: (205) 251-3747
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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 number1073010526
Entity typeIndividual (Type 1)
GenderMale
Credentials LAT , ATC
Sole proprietorYes
NPI enumeratedApril 11, 2018
Last updated in NPPESApril 17, 2019

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