Provider Demographics
NPI:1861503831
Name:PAYTON, TERESA K (PT)
Entity type:Individual
Prefix:MRS
First Name:TERESA
Middle Name:K
Last Name:PAYTON
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
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Mailing Address - Street 1:4544 ODENS MILL RD
Mailing Address - Street 2:
Mailing Address - City:SYLACAUGA
Mailing Address - State:AL
Mailing Address - Zip Code:35151-4412
Mailing Address - Country:US
Mailing Address - Phone:256-249-2249
Mailing Address - Fax:256-249-8440
Practice Address - Street 1:209 W SPRING ST
Practice Address - Street 2:SUITE 302
Practice Address - City:SYLACAUGA
Practice Address - State:AL
Practice Address - Zip Code:35150-2973
Practice Address - Country:US
Practice Address - Phone:256-249-2249
Practice Address - Fax:245-249-8440
Is Sole Proprietor?:No
Enumeration Date:2006-08-31
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
ALPTH2403225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist