Doctor Name: | AMY LYYSKI |
NPI Number: | 1821054206 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MPT |
License Number: | PT007606 |
Business Practice Address: | 166 Fourth St Usa Meddac Bldg Fort Irwin, CA - 92310 |
Business Phone Number: | 7603806862 |
Business Fax Number: | |
Mailing Address: | 5163 Cracker Jack Ln, FORT IRWIN |
State: | CA |
Postal Code: | 923102071 |
Phone Number: | 7603806862 |
Fax Number: | |
NPI Enumeration Date: | 04/25/2006 |
NPI Last Update Date: | 10/17/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | PT007606 |
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 |