Individual
MR. BRIAN PEAVLER
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
ATC, LAT
Contact information
Practice address
5255 E STOP 11 RD, SUITE 300, INDIANAPOLIS, IN 46237-6340
(317) 884-5260
Mailing address
910 W SOUTHPORT RD, INDIANAPOLIS, IN 46217-4171
(317) 783-2516
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
36000582A
IN
Other
Enumeration date
02/11/2006
Last updated
07/08/2007
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