Doctor Name: | AMY TIPTON |
NPI Number: | 1235506130 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PT/DPT |
License Number: | PT001984 |
Business Practice Address: | 2089 Teron Trce Suite 120 Dacula, GA - 300191609 |
Business Phone Number: | 7709046009 |
Business Fax Number: | 7709042357 |
Mailing Address: | 2089 Teron Trce, Suite 120 DACULA |
State: | GA |
Postal Code: | 300191609 |
Phone Number: | 7709046009 |
Fax Number: | 7709042357 |
NPI Enumeration Date: | 08/26/2015 |
NPI Last Update Date: | 08/26/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | PT001984 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | GA |
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 |