NPI 1891268280 · live from the CMS NPI Registry
Elizabeth Agre, PT, DPT
Physical Therapist in Fort Defiance, AZ. National Provider Identifier 1891268280, active.
NPI record
| NPI | 1891268280 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Physical Therapist 225100000X |
| Practice location | Corner Of Route N12 And N7, Fort Defiance, AZ 86504 |
| Practice phone | 928-729-8000 |
| Mailing address | Po Box 649, Fort Defiance, AZ 86504 |
| Enumerated | January 8, 2019 |
| Last updated | May 28, 2025 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Physical Therapist | 225100000X | 27299 (MD) |
| Physical Therapist primary | 225100000X | 5572 (OK) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.