Doctor Name: | DR. ELIZABETH M PETTIT |
NPI Number: | 1104850239 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | DPT |
License Number: | 2906 |
Business Practice Address: | 1450 E Valley Rd Suite 203 Roaring Fork Pt Basalt, CO - 81621 |
Business Phone Number: | 9709279319 |
Business Fax Number: | 9709270168 |
Mailing Address: | Po Box 1764, BASALT |
State: | CO |
Postal Code: | 81621 |
Phone Number: | 9709279319 |
Fax Number: | 9709270168 |
NPI Enumeration Date: | 07/11/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 2906 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CO |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Physical Therapist |
Taxonomy Specialization: | |
Taxonomy Definition: | (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT |