Provider Demographics
NPI:1013701143
Name:LITTON, LUCILLE C (PT, DPT)
Entity type:Individual
Prefix:
First Name:LUCILLE
Middle Name:C
Last Name:LITTON
Suffix:
Gender:
Credentials:PT, DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:16 BULL RUN
Mailing Address - Street 2:
Mailing Address - City:SPANISH FORT
Mailing Address - State:AL
Mailing Address - Zip Code:36527-3030
Mailing Address - Country:US
Mailing Address - Phone:251-458-9938
Mailing Address - Fax:
Practice Address - Street 1:28260 US HIGHWAY 98 STE B
Practice Address - Street 2:
Practice Address - City:DAPHNE
Practice Address - State:AL
Practice Address - Zip Code:36526-7075
Practice Address - Country:US
Practice Address - Phone:251-458-9938
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-04-04
Last Update Date:2025-04-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ALPTH9486225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist