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

Micah Peterson

Individual provider Athletic Trainer · NPI 1710851753

Micah Peterson is an Athletic Trainer in Fayetteville, Arkansas. Registered with an NPI since 2025.

In the registry since
2025
Specialties on file
2

Practice location Address checks out

1 University Of Arkansas
Fayetteville, AR 72701-1201
Phone: (479) 575-2000
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X
Athletic Trainer Taxonomy 2255A2300X

Record details

NPI number1710851753
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedOctober 2, 2025
Last updated in NPPESOctober 2, 2025
Certification dateOctober 2, 2025
Mailing address1694 N Whistling Straits Ave Apt 105, Fayetteville, AR 72704-6674

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