Provider Demographics
NPI:1164244638
Name:PFEIFFER, DENISE M (MSPT)
Entity type:Individual
Prefix:
First Name:DENISE
Middle Name:M
Last Name:PFEIFFER
Suffix:
Gender:F
Credentials:MSPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14709 SUMMER ROSE WAY
Mailing Address - Street 2:
Mailing Address - City:FORT MYERS
Mailing Address - State:FL
Mailing Address - Zip Code:33919-6950
Mailing Address - Country:US
Mailing Address - Phone:239-839-8588
Mailing Address - Fax:
Practice Address - Street 1:14709 SUMMER ROSE WAY
Practice Address - Street 2:
Practice Address - City:FORT MYERS
Practice Address - State:FL
Practice Address - Zip Code:33919-6950
Practice Address - Country:US
Practice Address - Phone:239-839-8588
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-10-28
Last Update Date:2024-10-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPT13271225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist