Provider Demographics
NPI:1669975330
Name:LAYTON, CHADWICK ARTHUR (ATC)
Entity type:Individual
Prefix:
First Name:CHADWICK
Middle Name:ARTHUR
Last Name:LAYTON
Suffix:
Gender:M
Credentials:ATC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1503 S CLIFF ST
Mailing Address - Street 2:
Mailing Address - City:DECATUR
Mailing Address - State:TX
Mailing Address - Zip Code:76234-2826
Mailing Address - Country:US
Mailing Address - Phone:940-399-9269
Mailing Address - Fax:
Practice Address - Street 1:1503 S CLIFF ST
Practice Address - Street 2:
Practice Address - City:DECATUR
Practice Address - State:TX
Practice Address - Zip Code:76234-2826
Practice Address - Country:US
Practice Address - Phone:940-399-9269
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-03-08
Last Update Date:2018-03-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer