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

Mr. Jeffrey W. Petersen, ATC

Individual provider Athletic Trainer · NPI 1952543969

Mr. Jeffrey W. Petersen, ATC is an Athletic Trainer in Watseka, Illinois. Practices as a sole proprietor. Licensed in Illinois.

Licensed in
IL
In the registry since
2009
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

308 S 3rd St
Watseka, IL 60970-1604
Phone: (815) 432-1005
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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 096001426 (IL)

Record details

NPI number1952543969
Entity typeIndividual (Type 1)
GenderMale
Credentials ATC
Sole proprietorYes
NPI enumeratedApril 6, 2009
Last updated in NPPESApril 6, 2009

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