Provider Demographics
NPI:1164300984
Name:LATA, JUDY ELIZABETH (PT, DPT)
Entity type:Individual
Prefix:
First Name:JUDY
Middle Name:ELIZABETH
Last Name:LATA
Suffix:
Gender:F
Credentials:PT, DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 775689
Mailing Address - Street 2:
Mailing Address - City:STEAMBOAT SPRINGS
Mailing Address - State:CO
Mailing Address - Zip Code:80477-5689
Mailing Address - Country:US
Mailing Address - Phone:970-879-7031
Mailing Address - Fax:
Practice Address - Street 1:2851 RIVERSIDE PLZ UNIT 240
Practice Address - Street 2:
Practice Address - City:STEAMBOAT SPRINGS
Practice Address - State:CO
Practice Address - Zip Code:80487-5084
Practice Address - Country:US
Practice Address - Phone:970-879-7031
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-08-21
Last Update Date:2025-08-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty