Amy Vertz
Individual provider Active NPI Physical Therapy Assistant · Dousman, WI
NPI 1356749519 · NPPES record last updated Dec 19, 2014
Key facts
- NPI
- 1356749519
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapy Assistant 225200000X
- License
- 2191-19 (WI)
- Practice address
- 183 County Road D
Dousman, WI 53118-8737 - Phone
- (262) 719-6167
- NPI assigned
- Dec 19, 2014
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2191-19 | WI | MD | Physical Therapy Assistant |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Assistant | 225200000X | 2191-19 | WI | Yes |
Addresses
Primary practice location
183 County Road D
Dousman, WI 53118-8737
Mailing address
183 County Road D
Dousman, WI 53118-8737
Phone (262) 719-6167
Other providers in Dousman, WI
- Sara Lyn Schlieve
- Carmen Schuett
- Edward Michael Smith
- Emily Ann Steckbauer
- Maraleta Swenson
- George Vohwinkle
- Richard Vincent Whalen III
- Wisconsin Masonic Home Inc
- Wisconsin Masonic Home Inc
All providers in Dousman, WI · Physical Therapy Assistant in Wisconsin
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 19, 2014. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.