Provider Demographics
NPI:1972172047
Name:PEABODY, GIANNA MARIE (DPT)
Entity type:Individual
Prefix:DR
First Name:GIANNA
Middle Name:MARIE
Last Name:PEABODY
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:9070 W CHEYENNE AVE STE 100
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89129-8935
Mailing Address - Country:US
Mailing Address - Phone:702-818-5000
Mailing Address - Fax:
Practice Address - Street 1:117 S ELIZABETH ST
Practice Address - Street 2:
Practice Address - City:ELIZABETH
Practice Address - State:CO
Practice Address - Zip Code:80107-7598
Practice Address - Country:US
Practice Address - Phone:303-646-1445
Practice Address - Fax:303-646-1962
Is Sole Proprietor?:No
Enumeration Date:2021-06-22
Last Update Date:2025-02-12
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
COPTL0017732225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist