Provider Demographics
NPI:1275898462
Name:FITZPATRICK, GERALDINE (RRT)
Entity Type:Individual
Prefix:
First Name:GERALDINE
Middle Name:
Last Name:FITZPATRICK
Suffix:
Gender:F
Credentials:RRT
Other - Prefix:
Other - First Name:GERI
Other - Middle Name:
Other - Last Name:FITZPATRICK
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:RRT
Mailing Address - Street 1:3357 MAMMOTH CT
Mailing Address - Street 2:
Mailing Address - City:WELLINGTON
Mailing Address - State:CO
Mailing Address - Zip Code:80549-3227
Mailing Address - Country:US
Mailing Address - Phone:970-219-5665
Mailing Address - Fax:
Practice Address - Street 1:3357 MAMMOTH CT
Practice Address - Street 2:
Practice Address - City:WELLINGTON
Practice Address - State:CO
Practice Address - Zip Code:80549-3227
Practice Address - Country:US
Practice Address - Phone:970-219-5665
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-07-12
Last Update Date:2012-07-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO1865227900000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes227900000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersRespiratory Therapist, Registered