Amy Tisdale in Evans - Physical Therapist

Amy Tisdale - NPI 1508089749

Amy Tisdale is a Physical Therapist in Evans, Georgia. Amy Tisdale practices all healthcare services and medical treatments related to Physical Therapist. The NPI Number for Amy Tisdale is 1508089749. The last update date is 2007-07-08.

Amy Tisdale's current location address is 536 Grand Slam Dr, Evans, Georgia. You can contact this provider via phone number 7068548434 and fax number 7068548435. The mailing address for Amy Tisdale is 536 Grand Slam Dr, Evans, Georgia. To know further, please read the information below!

Provider Profile Detail

Provider Name Amy Tisdale
Address 536 Grand Slam Dr, Evans, Georgia
Phone Number 7068548434
Fax Number 7068548435
Sole Proprietor N
Credentials PT

NPI Number Detail

NPI Number 1508089749
Provider Enumeration Date 2007-04-10
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 536 Grand Slam Dr
City Evans
State Georgia (GA)
Post Code 308098014
Phone Number 7068548434
Fax Number 7068548435

Provider's Primary Taxonomy Detail

Speciality Physical Therapist
Taxonomy 225100000X
Licence No 6776
Definition:
Physical therapists (PTs) are licensed health care professionals who diagnose and treat individuals of all ages, from newborns to the very oldest, who have medical problems or other health-related conditions that limit their abilities to move and per

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
6776 GA PT LICENSE

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FAQs about Amy Tisdale

What is the unique identifier code issued to Amy Tisdale by the Centers for Medicare & Medicaid Services (CMS)?

The Amy Tisdale has been assigned the NPI (National Provider Identifier) 1508089749. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.

Can you provide the Amy Tisdale's physical address?

The Amy Tisdale is physically located at 536 Grand Slam Dr, in the city of Evans, GA, with the postal code 308098014.

What is Amy Tisdale's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?

The area of specialization for Amy Tisdale is Physical Therapist, and the taxonomy code that classifies this field of practice is 225100000X.

On what date did the Centers for Medicare & Medicaid Services assign the 1508089749 to Amy Tisdale?

The Centers for Medicare & Medicaid Services assigned the 1508089749 to Amy Tisdale on 2007-04-10.

As of what date were the Amy Tisdale's details last updated?

The information pertaining to the Amy Tisdale, including its address, specialty, and other details, was most recently updated on 2007-07-08.

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