Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JACK DAVID PETERS
ActiveJACK DAVID PETERS is a Athletic Trainer healthcare provider located in WEST LAFAYETTE, Indiana. NPI 1609655240 is currently active in the NPPES registry. Verify at CMS.
Athletic Trainer · WEST LAFAYETTE, IN
Registration Details
- NPI Number
- 1609655240
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Sep 25, 2023 (2.894646422733 yrs)
- Last Updated
- Sep 25, 2023
Practice Information
- Address
-
800 W STADIUM AVEWEST LAFAYETTE, IN, 479072046Browse IN providers · Browse ZIP 47907
- Phone
- 7654960502
- Fax
- 7654961239
- Primary Specialty
-
Athletic Trainer
2255A2300X
Other Athletic Trainer Providers in WEST LAFAYETTE, IN
| Name | Credential | NPI |
|---|---|---|
| MS. LINDSEY ANN WATSON | ATC, LAT | 1447224977 |
| MR. CRAIG ALAN VOLL JR. | ATC, PT | 1922072610 |
| MARION SIDES VRUGGINK | — | 1477519346 |
| ANDREA LYNN LOPEZ | ATC | 1720163348 |
| CHAD YOUNG | MED, ATC | 1417157413 |
| CASEY ROSE VASILAK | ATC/L | 1033492186 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.