Individual
PEYTON COLEMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTD, OTR/L
Contact information
Practice address
2618 RING RD STE 110, ELIZABETHTOWN, KY 42701-7116
(270) 766-1213
(270) 766-1115
Mailing address
2618 RING RD STE 110, ELIZABETHTOWN, KY 42701-7116
(270) 766-1213
(270) 766-1115
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-22-230395
KY
225X00000X
Occupational Therapist
Primary
306543
KY
Other
Enumeration date
01/17/2023
Last updated
02/18/2026
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