NPI 1003368069

Jordan Peltier

Practitioner Athletic Trainer Chesterfield, MI

Practice location

Address: 28809 Stonehenge Dr, Chesterfield, MI 48047-3785
Phone: (586) 246-1980
Mailing address: 11532 Echo Lake Cir Unit 302, Bradenton, FL 34211-2516

Registered specialties (2)

Athletic Trainer Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 2255A2300X Licence AL4826 (FL)

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Student in an Organized Health Care Education/Training Program

Student, Health Care Taxonomy 390200000X

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Registry record

NPI: 1003368069
Entity type: Individual
Sex (as registered): Female
NPI issued: 25 Oct 2016
Record last updated: 25 May 2017

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.