Titterud, Lisa

Titterud, Lisa is an individual health care provider with primary practice located at 1727 2Nd St Ste 2 , Sarasota FL 34236. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as her primary health care specialty. Titterud, Lisa can be contacted via phone (941) 951-0170.

Contact Information

Primary practice address
1727 2Nd St Ste 2 Sarasota FL 34236
Phone: (941) 951-0170
Fax: (941) 993-1088
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X PT18638 Florida

Profile Details

NPI number 1376528570
LBN Legal business name Titterud, Lisa
Credentials Physical Therapist (PT)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 9th, 2005
Last updated Jan 25th, 2019 - about 6 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1376528570 NPPES
Florida Other Y0612 BCBS

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