Individual
MRS. MICHELLE M PITTS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.T.
Contact information
Practice address
77 W FOREST AVE, 301, FLAGSTAFF, AZ 86001-1479
(928) 214-2836
(928) 214-2837
Mailing address
77 W FOREST AVE, 301, FLAGSTAFF, AZ 86001-1479
(928) 214-2836
(928) 214-2837
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2929
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
832974
—
AZ
Enumeration date
04/09/2007
Last updated
02/10/2009
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