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

Tedijo Pederson, ATC

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1205453552

Tedijo Pederson, ATC is a Student in an Organized Health Care Education/Training Program in Butte, Montana. Licensed in Montana. Registered with an NPI since 2020.

Licensed in
MT
In the registry since
2020
Specialties on file
2
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

400 S Clark St
Butte, MT 59701-2328
Phone: (406) 723-2500
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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 ATR-LAT-LIC-2508 (MT)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1205453552
Entity typeIndividual (Type 1)
GenderFemale
Credentials ATC
Sole proprietorNo
NPI enumeratedJuly 2, 2020
Last updated in NPPESJuly 8, 2022
Certification dateJune 9, 2022
Mailing address2034 Colt Dr, P.O. Box 55, Victor, MT 59875

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