Individual
PEYTON NICOLE CLUTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
13010 EASTGATE PARK WAY STE 101, LOUISVILLE, KY 40223-3984
(502) 244-1210
Mailing address
615 W MADISON ST, LA GRANGE, KY 40031-1047
(502) 758-5151
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
272686
KY
Other
Enumeration date
08/20/2021
Last updated
08/29/2021
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