NPI 1003393430

Nicholas Peyton, ATC

Practitioner Athletic Trainer Peoria, IL

Practice location

Address: 6000 N Allen Rd, Peoria, IL 61614-3294
Phone: (309) 689-7044
Fax: (309) 689-7094

Registered specialties (2)

Athletic Trainer Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 2255A2300X Licence 096005070 (IL)

Other Specialist/Technologist providers in Illinois →

Athletic Trainer

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 2255A2300X Licence 092014 (IA)

Registry record

NPI: 1003393430
Entity type: Individual
Sex (as registered): Male
NPI issued: 27 Jul 2018
Record last updated: 31 Dec 2019

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.