Individual
AMY NOELLE ELLIOTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPTA
Contact information
Practice address
286 E 29TH ST, LOVELAND, CO 80538-2733
(970) 663-3720
(970) 667-7682
Mailing address
2917 ALAMOSA CT, LOVELAND, CO 80538-2413
(970) 635-9507
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
AT972
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
05030002
—
CO
Enumeration date
08/21/2006
Last updated
07/08/2007
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