Provider Demographics
NPI:1205631546
Name:BATTLES, PAYTON (OTR/L)
Entity type:Individual
Prefix:
First Name:PAYTON
Middle Name:
Last Name:BATTLES
Suffix:
Gender:
Credentials:OTR/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1243 E BRICKYARD RD APT 321
Mailing Address - Street 2:
Mailing Address - City:SALT LAKE CITY
Mailing Address - State:UT
Mailing Address - Zip Code:84106-5611
Mailing Address - Country:US
Mailing Address - Phone:503-805-2868
Mailing Address - Fax:
Practice Address - Street 1:1243 E BRICKYARD RD APT 321
Practice Address - Street 2:
Practice Address - City:SALT LAKE CITY
Practice Address - State:UT
Practice Address - Zip Code:84106-5611
Practice Address - Country:US
Practice Address - Phone:503-805-2868
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-02-18
Last Update Date:2025-02-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT14199959-4201225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist