Provider Demographics
NPI:1972940690
Name:PEAVLER, LEIGHTON AARON (DPT)
Entity type:Individual
Prefix:DR
First Name:LEIGHTON
Middle Name:AARON
Last Name:PEAVLER
Suffix:
Gender:
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3700 ULMERTON RD STE 204
Mailing Address - Street 2:
Mailing Address - City:CLEARWATER
Mailing Address - State:FL
Mailing Address - Zip Code:33762-4235
Mailing Address - Country:US
Mailing Address - Phone:727-490-8262
Mailing Address - Fax:727-324-6595
Practice Address - Street 1:3700 ULMERTON RD STE 204
Practice Address - Street 2:
Practice Address - City:CLEARWATER
Practice Address - State:FL
Practice Address - Zip Code:33762-4235
Practice Address - Country:US
Practice Address - Phone:217-474-5225
Practice Address - Fax:727-624-6595
Is Sole Proprietor?:No
Enumeration Date:2013-06-04
Last Update Date:2025-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VI188225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist