Individual
ELIZABETH FISK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
100 N MARIO CAPECCHI DR, SALT LAKE CITY, UT 84113-1103
(801) 662-4971
Mailing address
100 N MARIO CAPECCHI DR, SALT LAKE CITY, UT 84113-1103
(801) 662-4971
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
9823068-2401
UT
2251P0200X
Pediatric Physical Therapist
9823068-2401
UT
Other
Enumeration date
06/01/2016
Last updated
12/07/2021
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