Provider Demographics
NPI:1508410226
Name:DAVIS, PEYTON ELISE (MS, LAT, ATC)
Entity type:Individual
Prefix:
First Name:PEYTON
Middle Name:ELISE
Last Name:DAVIS
Suffix:
Gender:F
Credentials:MS, LAT, ATC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1035 BARNETT SHOALS RD APT 810
Mailing Address - Street 2:
Mailing Address - City:ATHENS
Mailing Address - State:GA
Mailing Address - Zip Code:30605-7325
Mailing Address - Country:US
Mailing Address - Phone:678-435-1605
Mailing Address - Fax:
Practice Address - Street 1:800 FELD WAY
Practice Address - Street 2:
Practice Address - City:PALMETTO
Practice Address - State:FL
Practice Address - Zip Code:34221-6514
Practice Address - Country:US
Practice Address - Phone:703-448-4196
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-07-31
Last Update Date:2024-08-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer