Doctor Name: | AMY HORN |
NPI Number: | 1932427077 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LMT |
License Number: | MT-14068 |
Business Practice Address: | 408 N Kendrick St Ste 1 Flagstaff, AZ - 860011582 |
Business Phone Number: | 9288535765 |
Business Fax Number: | 9283047174 |
Mailing Address: | 408 N Kendrick St Ste 1, FLAGSTAFF |
State: | AZ |
Postal Code: | 860011582 |
Phone Number: | 9288535765 |
Fax Number: | 9283047174 |
NPI Enumeration Date: | 05/13/2010 |
NPI Last Update Date: | 12/11/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 174400000X |
License Number: | MT-14068 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | AZ |
Taxonomy Type: | Other Service Providers |
Taxonomy Classification: | Specialist |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |