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

Mr. Kyle J Peckham, ATC

Individual provider Athletic Trainer · NPI 1861889206

Mr. Kyle J Peckham, ATC is an Athletic Trainer in Essex Junction, Vermont. Practices as a sole proprietor. Registered with an NPI since 2015.

In the registry since
2015
Specialties on file
2
What do these letters mean?
ATC — Certified Athletic Trainer
Prevents and treats sport and activity injuries.

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Practice location Address checks out

10 Edgewood Dr
Essex Junction, VT 05452-3073
Phone: (802) 734-6364
Show map & directions

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

Specialties & licences

Athletic Trainer (primary) Taxonomy 2255A2300X
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1861889206
Entity typeIndividual (Type 1)
GenderMale
Credentials ATC
Sole proprietorYes
NPI enumeratedApril 23, 2015
Last updated in NPPESDecember 10, 2015

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