Doctor Name: | MS. ELISABETH DILLON LAUX FOLKERTH |
NPI Number: | 1134414675 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MSPT, CPI, CSD |
License Number: | 8059 |
Business Practice Address: | 322 N Iowa St Gunnison, CO - 812302222 |
Business Phone Number: | 9706412118 |
Business Fax Number: | |
Mailing Address: | 322 N. Iowa St., GUNNISON |
State: | CO |
Postal Code: | 812302222 |
Phone Number: | 9706412118 |
Fax Number: | |
NPI Enumeration Date: | 06/13/2011 |
NPI Last Update Date: | 06/13/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 2251X0800X |
License Number: | 8059 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CO |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Physical Therapist |
Taxonomy Specialization: | Orthopedic |
Taxonomy Definition: |