MEDICARE: CLAYTON LLOYD HUNTER DPT

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
1	225100000X	Physical Therapist	8110	AZ

General Provider Information

NPI Number	:	1619139680
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CLAYTON LLOYD HUNTER DPT

Provider Business Mailing Address
First Line	:	9097 E DESERT COVE DR
Second Line	:	SUITE 110
City	:	SCOTTSDALE
State	:	AZ
Zip	:	85260-6279
Country	:	US
Telephone Number	:	480-860-4298
Fax Number	:	480-860-0356

Provider Business Practice Location Address
First Line	:	26900 N LAKE PLEASANT PKWY STE 120
Second Line	:
City	:	PEORIA
State	:	AZ
Zip	:	85383-1590
Country	:	US
Telephone Number	:	623-400-9100
Fax Number	:	623-400-9101

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/30/2008
Last Update Date	:	06/09/2025

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