Purdue Sports Medicine Wl - Primary Care in West Lafayette, IN

Purdue Sports Medicine Wl is a primary clinic (Physical Therapist - Orthopedic) in West Lafayette, Indiana. The current practice location for Purdue Sports Medicine Wl is 900 John R Wooden Drive, Mackey Arena, West Lafayette, Indiana. For appointments, you can reach them via phone at (765) 494-3245. The mailing address for Purdue Sports Medicine Wl is 601 Stadium Mall Dr, West Lafayette, Indiana and phone number is () -.

Purdue Sports Medicine Wl is licensed to practice in * (Not Available) (license number ) and its NPI number is 1053712570. This medical practice does not participate in medicare program and thus may not accept your medicare insurance. You may check if they accept your insurance at (765) 494-3245.

Contact Information

Purdue Sports Medicine Wl
900 John R Wooden Drive
Mackey Arena
West Lafayette
IN 47907
(765) 494-3245
(765) 494-9899

Primary Care Clinic Profile

Full NamePurdue Sports Medicine Wl
SpecialityPhysical Therapist - Orthopedic
Location900 John R Wooden Drive, West Lafayette, Indiana
Authorized Official Name and PositionJoan M Vaughan (HIPAA PRIVACY OFFICER)
Authorized Official Contact7654961927
Accepts Medicare InsuranceThis clinic does not participate in Medicare Program.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Purdue Sports Medicine Wl
601 Stadium Mall Dr
West Lafayette
IN 47907-2052

Ph: () -
Purdue Sports Medicine Wl
900 John R Wooden Drive
Mackey Arena
West Lafayette
IN 47907

Ph: (765) 494-3245

NPI Details:

NPI Number1053712570
Provider Enumeration Date09/16/2014
Last Update Date10/24/2014

Medical Identifiers

Medical identifiers for Purdue Sports Medicine Wl such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1053712570NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207RS0010XInternal Medicine - Sports Medicine (* (Not Available))Secondary
2251X0800XPhysical Therapist - Orthopedic (* (Not Available))Primary
2255A2300XSpecialist/technologist - Athletic Trainer (* (Not Available))Secondary

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