Most Relevant Information
Provider Data
| NPI Number: | 1003648403 |
| Provider Name: | PAYTON HUFNAGEL PT |
| Entity Type: | Individual |
| Taxonomy Code: | 225100000X |
| Specialty: | Physical Therapist |
| License Number: | 070028375 |
Most Important Dates
| Enumeration Date: | 08/15/2024 |
| Last Updated: | 08/15/2024 |
Provider Practice Location
6501 N SHERIDAN RD
PEORIA
IL
616142932
Practice Location Phone/Fax
| Phone: | 3098835070 |
| Fax: |
Provider Mailing Location
5250 N KNOXVILLE AVE APT 517
PEORIA
IL
616145042
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |