Most Relevant Information
Provider Data
| NPI Number: | 1003352287 |
| Provider Name: | DAVID PEACHEY |
| Entity Type: | Individual |
| Taxonomy Code: | 225200000X |
| Specialty: | Physical Therapy Assistant |
| License Number: | 06004511A |
Most Important Dates
| Enumeration Date: | 01/12/2017 |
| Last Updated: | 01/12/2017 |
Provider Practice Location
3109 E BRISTOL ST
ELKHART
IN
465144372
Practice Location Phone/Fax
| Phone: | 5742645649 |
| Fax: |
Provider Mailing Location
3109 E BRISTOL ST
ELKHART
IN
465144372
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |