Healthcare Provider Details

I. General information

NPI: 1538090691
Provider Name (Legal Business Name): PEACH TREE PT & WELLNESS, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/27/2026
Last Update Date: 05/27/2026
Certification Date: 05/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1045 N SAGUARO ST
CHANDLER AZ
85224-4068
US

IV. Provider business mailing address

1045 N SAGUARO ST
CHANDLER AZ
85224-4068
US

V. Phone/Fax

Practice location:
  • Phone: 480-399-8090
  • Fax:
Mailing address:
  • Phone: 480-399-8090
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State

VIII. Authorized Official

Name: DR. CASSANDRA LAUGHREY
Title or Position: OWNER
Credential: DPT
Phone: 480-399-8090