Provider Demographics
NPI:1972606267
Name:LITOFF, DANIELLE BETH (MPT, DPT, CMP, OCS,)
Entity Type:Individual
Prefix:MS
First Name:DANIELLE
Middle Name:BETH
Last Name:LITOFF
Suffix:
Gender:F
Credentials:MPT, DPT, CMP, OCS,
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6880 S MCCARRAN BLVD STE 11
Mailing Address - Street 2:
Mailing Address - City:RENO
Mailing Address - State:NV
Mailing Address - Zip Code:89509-6129
Mailing Address - Country:US
Mailing Address - Phone:775-747-2278
Mailing Address - Fax:775-747-2279
Practice Address - Street 1:6880 S MCCARRAN BLVD STE 11
Practice Address - Street 2:
Practice Address - City:RENO
Practice Address - State:NV
Practice Address - Zip Code:89509-6129
Practice Address - Country:US
Practice Address - Phone:775-747-2278
Practice Address - Fax:775-747-2279
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-05
Last Update Date:2022-12-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA22372225100000X
NV22127225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAZZZ261727Medicare ID - Type Unspecified