Doctor Name: | AMY W STAGGS |
NPI Number: | 1104872704 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PT |
License Number: | 2811 |
Business Practice Address: | 1700 Woodlawn Ave Dyersburg, TN - 380242028 |
Business Phone Number: | 7312861115 |
Business Fax Number: | 7312860998 |
Mailing Address: | 1804 Highway 45 Byp, Suite 604 JACKSON |
State: | TN |
Postal Code: | 383054436 |
Phone Number: | 7316608759 |
Fax Number: | |
NPI Enumeration Date: | 05/25/2006 |
NPI Last Update Date: | 07/16/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 2811 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | TN |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Physical Therapist |
Taxonomy Specialization: | |
Taxonomy Definition: | (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT |