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

Mekenna Peterson, ATC, SA

Individual provider Orthopedic Assistant · NPI 1780126680

Mekenna Peterson, ATC, SA is an Orthopedic Assistant in Boulder, Colorado. Practices as a sole proprietor and works from 2 locations. Licensed in Colorado.

Licensed in
CO
In the registry since
2016
Specialties on file
3
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

2150 Stadium Dr Fl 2
Boulder, CO 80309-9117
Phone: (303) 315-9900
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 175 Inverness Dr W, Englewood, CO 80112-5065 — (303) 694-9666

Specialties & licences

Athletic Trainer (primary) Taxonomy 2255A2300X · Licence AT.0001978 (CO)
Orthopedic Assistant Taxonomy 246ZX2200X · Licence 20-0208 (CO)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1780126680
Entity typeIndividual (Type 1)
GenderFemale
Credentials ATC , SA
Sole proprietorYes
NPI enumeratedNovember 8, 2016
Last updated in NPPESSeptember 1, 2021
Certification dateSeptember 1, 2021

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