Provider Demographics
NPI:1447558325
Name:FITZGERALD, MARIANNE (RMT)
Entity Type:Individual
Prefix:
First Name:MARIANNE
Middle Name:
Last Name:FITZGERALD
Suffix:
Gender:F
Credentials:RMT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 1271
Mailing Address - Street 2:
Mailing Address - City:DILLON
Mailing Address - State:CO
Mailing Address - Zip Code:80435-1271
Mailing Address - Country:US
Mailing Address - Phone:970-485-4269
Mailing Address - Fax:
Practice Address - Street 1:114 VILLAGE PLACE
Practice Address - Street 2:SUITE 302
Practice Address - City:DILLON
Practice Address - State:CO
Practice Address - Zip Code:80435
Practice Address - Country:US
Practice Address - Phone:970-513-9234
Practice Address - Fax:970-513-9238
Is Sole Proprietor?:Yes
Enumeration Date:2011-03-02
Last Update Date:2011-03-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist