Individual
JEFFREY CARPENTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
2047 ORCHARD HILL RD, BELLAIRE, MI 49615-8449
(231) 459-6766
Mailing address
2047 ORCHARD HILL RD, BELLAIRE, MI 49615-8449
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
03/08/2015
Last updated
06/10/2016
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