Individual
DAVID PEACHEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3109 E BRISTOL ST, ELKHART, IN 46514-4372
(574) 264-5649
Mailing address
3109 E BRISTOL ST, ELKHART, IN 46514-4372
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
06004511A
IN
Other
Enumeration date
01/12/2017
Last updated
01/12/2017
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