Individual
AVRY RUTLEDGE PAYNE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MPT
Contact information
Practice address
4201 LAKE BOONE TRAIL, SUITE 4, RALEIGH, NC 27607-7511
(919) 781-4434
(919) 781-5851
Mailing address
4201 LAKE BOONE TRAIL, SUITE 4, RALEIGH, NC 27607-7511
(919) 781-4434
(919) 781-5851
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
P11237
NC
225100000X
Physical Therapist
Primary
PT 20729
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
889299700
—
FL
Enumeration date
10/30/2006
Last updated
01/13/2026
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