Individual
JORDAN PELTIER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
28809 STONEHENGE DR, CHESTERFIELD, MI 48047-3785
(586) 246-1980
Mailing address
11532 ECHO LAKE CIR UNIT 302, BRADENTON, FL 34211-2516
(586) 246-1980
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AL4826
FL
390200000X
Student in an Organized Health Care Education/Training Program
—
MI
Other
Enumeration date
10/25/2016
Last updated
05/25/2017
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