Doctor Name: | MS. AMY LYNN PHIPPS-POE |
NPI Number: | 1700922960 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | P.T. |
License Number: | 5707 |
Business Practice Address: | 1503 7th Ave Two Harbors, MN - 556161102 |
Business Phone Number: | 2188342586 |
Business Fax Number: | 2188342587 |
Mailing Address: | 1503 7th Ave, TWO HARBORS |
State: | MN |
Postal Code: | 556161102 |
Phone Number: | 2188342586 |
Fax Number: | 2188342587 |
NPI Enumeration Date: | 01/29/2007 |
NPI Last Update Date: | 02/15/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 2251X0800X |
License Number: | 5707 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MN |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Physical Therapist |
Taxonomy Specialization: | Orthopedic |
Taxonomy Definition: |