Provider Demographics
NPI:1750342606
Name:FONDY, ELIZABETH RYAN (PT)
Entity type:Individual
Prefix:MS
First Name:ELIZABETH
Middle Name:RYAN
Last Name:FONDY
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:313 W DRAKE RD STE 100
Mailing Address - Street 2:
Mailing Address - City:FORT COLLINS
Mailing Address - State:CO
Mailing Address - Zip Code:80526-2866
Mailing Address - Country:US
Mailing Address - Phone:970-225-5028
Mailing Address - Fax:970-225-5038
Practice Address - Street 1:313 W DRAKE RD STE 100
Practice Address - Street 2:
Practice Address - City:FORT COLLINS
Practice Address - State:CO
Practice Address - Zip Code:80526-2866
Practice Address - Country:US
Practice Address - Phone:970-225-5028
Practice Address - Fax:970-225-5038
Is Sole Proprietor?:No
Enumeration Date:2006-03-30
Last Update Date:2021-10-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO2951225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist