TEDIJO PEDERSON, ATC
Specialist/Technologist - Athletic Trainer
Active
Individual
NPI: 1205453552
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | No | - |
| Specialist/Technologist - Athletic Trainer | 2255A2300X | Yes | ATR-LAT-LIC-2508 (MT) |
Frequently Asked Questions
NPI 1205453552 is the National Provider Identifier for TEDIJO PEDERSON, ATC, a Specialist/Technologist - Athletic Trainer provider located in Butte, MT. This NPI was enumerated on July 2, 2020.
TEDIJO PEDERSON, ATC practices at 400 S CLARK ST, Butte, MT 59701.
Quick Facts
- NPI
- 1205453552
- Type
- Individual
- Enumerated
- Jul 2, 2020
- Last Updated
- Jul 8, 2022
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