Provider Demographics
NPI:1639929649
Name:FUGITT, ELIZABETH LEE (PT, DPT)
Entity type:Individual
Prefix:DR
First Name:ELIZABETH
Middle Name:LEE
Last Name:FUGITT
Suffix:
Gender:F
Credentials:PT, DPT
Other - Prefix:
Other - First Name:ELIIZABETH
Other - Middle Name:LEE
Other - Last Name:FUGITT
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:PT, DPT
Mailing Address - Street 1:17055 FRANCES ST
Mailing Address - Street 2:SUITE 100
Mailing Address - City:OMAHA
Mailing Address - State:NE
Mailing Address - Zip Code:68130-4655
Mailing Address - Country:US
Mailing Address - Phone:402-280-3555
Mailing Address - Fax:402-280-3557
Practice Address - Street 1:CREIGHTON THERAPY & WELLNESS
Practice Address - Street 2:17055 FRANCES ST, STE 100
Practice Address - City:OMAHA
Practice Address - State:NE
Practice Address - Zip Code:68130-4655
Practice Address - Country:US
Practice Address - Phone:402-280-3555
Practice Address - Fax:402-280-3557
Is Sole Proprietor?:Yes
Enumeration Date:2024-03-25
Last Update Date:2024-08-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
225100000X
NE4590225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist