Most Relevant Information
Provider Data
| NPI Number: | 1003642786 |
| Provider Name: | PEYTON MATHERNE PT |
| Entity Type: | Individual |
| Taxonomy Code: | 225100000X |
| Specialty: | Physical Therapist |
| License Number: |
Most Important Dates
| Enumeration Date: | 09/10/2024 |
| Last Updated: | 09/10/2024 |
Provider Practice Location
233 DOUCET RD STE B2
LAFAYETTE
LA
705033403
Practice Location Phone/Fax
| Phone: | 3379919972 |
| Fax: | 3379919974 |
Provider Mailing Location
233 DOUCET RD STE B2
LAFAYETTE
LA
705033403
Provider Mailing Phone/Fax
| Phone: | 3379919972 |
| Fax: | 3379919974 |