1164433231 NPI number — AMY HILL FIFE P.T.

Table of content: AMY HILL FIFE P.T. (NPI 1164433231)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1164433231 NPI number — AMY HILL FIFE P.T.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
FIFE
Provider First Name:
AMY
Provider Middle Name:
HILL
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
P.T.
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
HILL
Provider Other First Name:
AMY
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
PT, MPT
Provider Other Last Name Type Code:
1

NPI Number Information

NPI Number:
1164433231
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
05/07/2013
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
2088 HODESHA CT
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
GRAND JUNCTION
Provider Business Mailing Address State Name:
CO
Provider Business Mailing Address Postal Code:
81507-1049
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
970-589-9049
Provider Business Mailing Address Fax Number:
970-826-7026

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
2232 N 7TH ST
Provider Second Line Business Practice Location Address:
STE. 8
Provider Business Practice Location Address City Name:
GRAND JUNCTION
Provider Business Practice Location Address State Name:
CO
Provider Business Practice Location Address Postal Code:
81501-7459
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
970-589-9049
Provider Business Practice Location Address Fax Number:
970-826-7026
Provider Enumeration Date:
08/11/2006

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 225100000X , with the licence number:  PTL0009420 , registered in the state of CO ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)