Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Jack David Peters

Individual provider Athletic Trainer · NPI 1609655240

Jack David Peters is an Athletic Trainer in West Lafayette, Indiana. Registered with an NPI since 2023.

In the registry since
2023

Practice location Address checks out

800 W Stadium Ave
West Lafayette, IN 47907-2046
Phone: (765) 496-0502
Fax: (765) 496-1239
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Athletic Trainer (primary) Taxonomy 2255A2300X

Record details

NPI number1609655240
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedSeptember 25, 2023
Last updated in NPPESSeptember 25, 2023
Certification dateSeptember 23, 2023

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