Doctor Name: | MRS. AMY MARIE RETTIG |
NPI Number: | 1699800409 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | P.T. |
License Number: | 05002879A |
Business Practice Address: | 3000 S State Road 135 Suite 110 Greenwood, IN - 461439607 |
Business Phone Number: | 3175354075 |
Business Fax Number: | 3175354076 |
Mailing Address: | 130 Dresden Dr, Apt. 10 B GREENWOOD |
State: | IN |
Postal Code: | 461436311 |
Phone Number: | 3174106917 |
Fax Number: | |
NPI Enumeration Date: | 02/22/2007 |
NPI Last Update Date: | 08/06/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 05002879A |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | IN |
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 |