Provider Demographics
NPI:1780225896
Name:PEYTON, ANNA (MOT, OTR)
Entity Type:Individual
Prefix:
First Name:ANNA
Middle Name:
Last Name:PEYTON
Suffix:
Gender:F
Credentials:MOT, OTR
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2812 TRENTON WAY
Mailing Address - Street 2:
Mailing Address - City:FORT COLLINS
Mailing Address - State:CO
Mailing Address - Zip Code:80526-2298
Mailing Address - Country:US
Mailing Address - Phone:970-405-3672
Mailing Address - Fax:
Practice Address - Street 1:2812 TRENTON WAY
Practice Address - Street 2:
Practice Address - City:FORT COLLINS
Practice Address - State:CO
Practice Address - Zip Code:80526-2298
Practice Address - Country:US
Practice Address - Phone:970-405-3672
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-10-01
Last Update Date:2019-10-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist