Individual
MS. ELIZABETH E. LEWIS-KELLOGG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.T.
Contact information
Practice address
279 DALTON AVE, PITTSFIELD, MA 01201-3540
(413) 442-7337
Mailing address
279 DALTON AVE, PITTSFIELD, MA 01201-3540
(413) 442-7337
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
11063
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
10073227
CDPHP
MA
01
—
460404
TUFTS
MA
01
—
Y61317
BLUE CROSS
MA
Enumeration date
08/01/2006
Last updated
12/28/2015
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