Provider Demographics
NPI:1992521405
Name:DUISER, PEYTON (PT)
Entity type:Individual
Prefix:
First Name:PEYTON
Middle Name:
Last Name:DUISER
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3501 HIGHLAND PL
Mailing Address - Street 2:
Mailing Address - City:WESTMINSTER
Mailing Address - State:CO
Mailing Address - Zip Code:80031-3359
Mailing Address - Country:US
Mailing Address - Phone:317-752-8870
Mailing Address - Fax:
Practice Address - Street 1:3501 HIGHLAND PL
Practice Address - Street 2:
Practice Address - City:WESTMINSTER
Practice Address - State:CO
Practice Address - Zip Code:80031-3359
Practice Address - Country:US
Practice Address - Phone:303-412-7035
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-11-29
Last Update Date:2024-11-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist