Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. JASON SCOTT PEQUETTE, MS,ATC,CSCS
Active Sole ProprietorMR. JASON SCOTT PEQUETTE, MS,ATC,CSCS is a Athletic Trainer healthcare provider located in BOLINGBROOK, Illinois. NPI 1629046826 is currently active in the NPPES registry. Verify at CMS.
Athletic Trainer · BOLINGBROOK, IL
Registration Details
- NPI Number
- 1629046826
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Mar 14, 2006 (20.384182493441 yrs)
- Last Updated
- Jan 19, 2015
- License
-
096-001043 (IL)
- Sole Proprietor
- Yes
Practice Information
- Address
-
790 REMINGTON BLVDBOLINGBROOK, IL, 604404909Browse IL providers · Browse ZIP 60440
- Phone
- 6302692222
- Primary Specialty
-
Athletic Trainer
2255A2300X
Other Athletic Trainer Providers in BOLINGBROOK, IL
| Name | Credential | NPI |
|---|---|---|
| GINA YOUNCE | ATC | 1457329278 |
| MR. RICHARD THOMAS WRIGHT | ATC | 1851357552 |
| NATHANIEL EDWARD SEVILLE | MAED, ATC/L | 1770591919 |
| MS. MATTIE M KAMINSKAS | ATC | 1487701546 |
| MRS. SARAH REBECCA DAVIES | MS, ATC/L | 1609014067 |
| TYLER NOHREN | ATC | 1679867147 |
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.