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NPI Code Detail

MEDICARE: PEYTON CONTRERAS PTA

MEDICARE: PEYTON CONTRERAS PTA
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225200000XPhysical Therapy Assistant

General Provider Information

NPI Number : 1073490520
Entity Type Code : Individual
Provider Name (Legal Business Name) : PEYTON CONTRERAS PTA
Provider Business Mailing Address
First Line : 141 COLLEGE PARK DR
Second Line :
City : WEATHERFORD
State : TX
Zip : 76086-5653
Country : US
Telephone Number : 817-341-3600
Fax Number : 817-599-8181
Provider Business Practice Location Address
First Line : 141 COLLEGE PARK DR
Second Line :
City : WEATHERFORD
State : TX
Zip : 76086-5653
Country : US
Telephone Number : 817-341-3600
Fax Number : 817-599-8181
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/18/2025
Last Update Date : 08/18/2025

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Directions to “ PEYTON CONTRERAS PTA” Practice Location

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