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Elizabeth Agre, PT, DPT

Physical Therapist in Fort Defiance, AZ. Individual provider (NPI-1).

NPI number1891268280
StatusActive
Last updated in NPPESMay 28, 2025

Details

NPI
1891268280
Entity type
Individual (NPI-1)
Name
Elizabeth Agre
Credential
PT, DPT
Sex
Female
Sole proprietor
No
Enumeration date
Jan 8, 2019
Certification date
May 16, 2025
Last updated
May 28, 2025

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
225100000X Physical Therapist5572OKYes
225100000X Physical Therapist27299MD

Practice location

Corner Of Route N12 And N7
Fort Defiance, AZ 86504-0649

Phone 928-729-8000

Mailing address

Po Box 649
Fort Defiance, AZ 86504-0649

Phone 928-729-8000

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This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

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