Individual
ELISSA MARIE PAYONK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
901 N SANTA FE AVE, FOUNTAIN, CO 80817-1738
(719) 597-0822
Mailing address
815 TRIPLETT ST, OWENSBORO, KY 42303-3564
(270) 683-4517
(270) 852-1491
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
0017791
CO
225100000X
Physical Therapist
007776
KY
Other
Enumeration date
08/28/2019
Last updated
01/04/2023
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