Provider Demographics
NPI:1912483710
Name:TOSI, BRITTANY NICHOLE (ATC, CES, PES)
Entity Type:Individual
Prefix:
First Name:BRITTANY
Middle Name:NICHOLE
Last Name:TOSI
Suffix:
Gender:F
Credentials:ATC, CES, PES
Other - Prefix:
Other - First Name:BRITTANY
Other - Middle Name:NICHOLE
Other - Last Name:DIETER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:15002 N 33RD PL
Mailing Address - Street 2:
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85032-4502
Mailing Address - Country:US
Mailing Address - Phone:520-440-3760
Mailing Address - Fax:
Practice Address - Street 1:1501 W GUADALUPE RD
Practice Address - Street 2:
Practice Address - City:MESA
Practice Address - State:AZ
Practice Address - Zip Code:85202-7575
Practice Address - Country:US
Practice Address - Phone:480-472-3000
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-07-14
Last Update Date:2022-06-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ13162255A2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer