Healthcare Provider Details

I. General information

NPI: 1063377364
Provider Name (Legal Business Name): ELIZABETH GUADALUPE ALANNA PT, DPT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/18/2025
Last Update Date: 12/18/2025
Certification Date: 12/18/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1355 S HIGLEY RD STE 101
GILBERT AZ
85296-4799
US

IV. Provider business mailing address

2134 E BROADWAY RD UNIT 1061
TEMPE AZ
85282-1776
US

V. Phone/Fax

Practice location:
  • Phone: 480-507-8080
  • Fax:
Mailing address:
  • Phone: 602-882-6238
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: