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NPI Code Detail

MEDICARE: DR. ELIZABETH A DESSNER P.T.

MEDICARE:  DR. ELIZABETH A DESSNER  P.T.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225100000XPhysical Therapist02605IA
2225100000XPhysical TherapistPTL.0014563CO

General Provider Information

NPI Number : 1629047691
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. ELIZABETH A DESSNER P.T.
Provider Business Mailing Address
First Line : 5602 SCARLET IBIS LN
Second Line :
City : FORT COLLINS
State : CO
Zip : 80525-7147
Country : US
Telephone Number : 563-260-1156
Fax Number :
Provider Business Practice Location Address
First Line : 5602 SCARLET IBIS LN
Second Line :
City : FORT COLLINS
State : CO
Zip : 80525-7147
Country : US
Telephone Number : 563-260-1156
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/14/2006
Last Update Date : 12/30/2019

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