Provider Demographics
NPI:1619485638
Name:PIRILLO, SYDNEY ELIZABETH (LAT, ATC, PTA)
Entity Type:Individual
Prefix:MS
First Name:SYDNEY
Middle Name:ELIZABETH
Last Name:PIRILLO
Suffix:
Gender:F
Credentials:LAT, ATC, PTA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:200 MAIN ST
Mailing Address - Street 2:
Mailing Address - City:GUTTENBERG
Mailing Address - State:IA
Mailing Address - Zip Code:52052-9108
Mailing Address - Country:US
Mailing Address - Phone:563-252-5527
Mailing Address - Fax:563-252-5526
Practice Address - Street 1:200 MAIN ST
Practice Address - Street 2:
Practice Address - City:GUTTENBERG
Practice Address - State:IA
Practice Address - Zip Code:52052-9108
Practice Address - Country:US
Practice Address - Phone:563-252-5527
Practice Address - Fax:563-252-5526
Is Sole Proprietor?:No
Enumeration Date:2018-01-11
Last Update Date:2021-08-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer