Provider Demographics
NPI:1831361922
Name:PEYTON, KRISTEN A (AT-C)
Entity type:Individual
Prefix:
First Name:KRISTEN
Middle Name:A
Last Name:PEYTON
Suffix:
Gender:F
Credentials:AT-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4586 TIMBER RIDGE DR
Mailing Address - Street 2:SUITE 200
Mailing Address - City:DOUGLASVILLE
Mailing Address - State:GA
Mailing Address - Zip Code:30135-7517
Mailing Address - Country:US
Mailing Address - Phone:770-489-3513
Mailing Address - Fax:678-838-3514
Practice Address - Street 1:4586 TIMBER RIDGE DR
Practice Address - Street 2:SUITE 200
Practice Address - City:DOUGLASVILLE
Practice Address - State:GA
Practice Address - Zip Code:30135-7517
Practice Address - Country:US
Practice Address - Phone:770-489-3513
Practice Address - Fax:678-838-3514
Is Sole Proprietor?:No
Enumeration Date:2008-03-28
Last Update Date:2008-03-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GAAT0014892255A2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer