MEDICARE: PEYTON DUISER PT

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

General Provider Information

NPI Number	:	1992521405
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	PEYTON DUISER PT

Provider Business Mailing Address
First Line	:	3501 HIGHLAND PL
Second Line	:
City	:	WESTMINSTER
State	:	CO
Zip	:	80031-3359
Country	:	US
Telephone Number	:	317-752-8870
Fax Number	:

Provider Business Practice Location Address
First Line	:	3501 HIGHLAND PL
Second Line	:
City	:	WESTMINSTER
State	:	CO
Zip	:	80031-3359
Country	:	US
Telephone Number	:	303-412-7035
Fax Number	:

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

Provider Enumeration Date	:	11/29/2024
Last Update Date	:	11/29/2024

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Directions to “ PEYTON DUISER PT” Practice Location

Language	Start Address	Practice Location

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