Individual
EMILY GRACE TITTLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
8500 W CRESTLINE AVE UNIT G5, LITTLETON, CO 80123-2222
(303) 971-0500
Mailing address
PO BOX 529, KITTREDGE, CO 80457-0529
(979) 739-0416
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA.0015314
CO
Other
Enumeration date
01/30/2023
Last updated
01/30/2023
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