MEDICARE: DR. ELIZABETH GUADALUPE ALANNA PT, DPT

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
1	225100000X	Physical Therapist		AZ

General Provider Information

NPI Number	:	1063377364
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ELIZABETH GUADALUPE ALANNA PT, DPT

Provider Business Mailing Address
First Line	:	2134 E BROADWAY RD UNIT 1061
Second Line	:
City	:	TEMPE
State	:	AZ
Zip	:	85282-1776
Country	:	US
Telephone Number	:	602-882-6238
Fax Number	:

Provider Business Practice Location Address
First Line	:	1355 S HIGLEY RD STE 101
Second Line	:
City	:	GILBERT
State	:	AZ
Zip	:	85296-4799
Country	:	US
Telephone Number	:	480-507-8080
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/18/2025
Last Update Date	:	12/18/2025

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