Provider Demographics
NPI:1356908784
Name:VITO, ERRIN LINSEY (MPT)
Entity type:Individual
Prefix:
First Name:ERRIN
Middle Name:LINSEY
Last Name:VITO
Suffix:
Gender:F
Credentials:MPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4912 OVERHILL DR
Mailing Address - Street 2:
Mailing Address - City:FORT COLLINS
Mailing Address - State:CO
Mailing Address - Zip Code:80526-4537
Mailing Address - Country:US
Mailing Address - Phone:720-539-6449
Mailing Address - Fax:
Practice Address - Street 1:4912 OVERHILL DR
Practice Address - Street 2:
Practice Address - City:FORT COLLINS
Practice Address - State:CO
Practice Address - Zip Code:80526-4537
Practice Address - Country:US
Practice Address - Phone:720-539-6449
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-05-21
Last Update Date:2019-05-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO0010155225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist