Provider Demographics
NPI:1356125942
Name:PRESLEY, PEYTON (DPT)
Entity type:Individual
Prefix:MRS
First Name:PEYTON
Middle Name:
Last Name:PRESLEY
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2777 NATCHEZ LN
Mailing Address - Street 2:
Mailing Address - City:MEMPHIS
Mailing Address - State:TN
Mailing Address - Zip Code:38111-2019
Mailing Address - Country:US
Mailing Address - Phone:601-750-1905
Mailing Address - Fax:
Practice Address - Street 1:256 GERMANTOWN BEND CV STE 102
Practice Address - Street 2:
Practice Address - City:CORDOVA
Practice Address - State:TN
Practice Address - Zip Code:38018-5212
Practice Address - Country:US
Practice Address - Phone:601-750-1905
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-08-23
Last Update Date:2023-08-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN15092225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist