Individual
ZACHARY JARED CREIGHTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
12800 MISSISSIPPI PKWY STE A101, CROWN POINT, IN 46307-6901
(219) 662-5266
Mailing address
12800 MISSISSIPPI PKWY STE A101, CROWN POINT, IN 46307-6901
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
36002154A
IN
Other
Enumeration date
12/09/2019
Last updated
12/09/2019
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