Lindsey Nichole Peck, ATC
Individual provider Active NPI Athletic Trainer · Goodrich, MI
NPI 1639637770 · NPPES record last updated Mar 7, 2019
Key facts
- NPI
- 1639637770
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Athletic Trainer 2255A2300X
- License
- 2601001779 (MI)
- Practice address
- 8029 Gale Rd
Goodrich, MI 48438-9260 - Phone
- (810) 591-2251
- NPI assigned
- Mar 7, 2019
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2601001779 | MI | MD | Athletic Trainer |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Athletic Trainer | 2255A2300X | 2601001779 | MI | Yes |
Addresses
Primary practice location
8029 Gale Rd
Goodrich, MI 48438-9260
Mailing address
8029 Gale Rd
Goodrich, MI 48438-9260
Phone (810) 591-2251
Other providers in Goodrich, MI
- Leanna J Mazich
- Robin Mitchell
- Jeffrey Thomas Morse
- Eve Nissan
- Debra Olayinka
- Courtney M Perritt
- Pharmd Co
- Yamini Ramalingam
- Raspberry Manor
- Bradford G Rice
All providers in Goodrich, MI · Athletic Trainer in Michigan
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 7, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.