Amy M. Kline, PTA
Individual provider Active NPI Physical Therapy Assistant · Poplar, WI
NPI 1497972343 · NPPES record last updated May 2, 2008
Key facts
- NPI
- 1497972343
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapy Assistant 225200000X
- License
- 1124-019 (WI)
- Practice address
- 9675 E Elm Rd
Poplar, WI 54864-9102 - Phone
- (715) 364-8565
- Fax
- (715) 364-8574
- NPI assigned
- Apr 20, 2007
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|
| 1124-019 | WI | MD | Physical Therapy Assistant |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Assistant | 225200000X | 1124-019 | WI | Yes |
Addresses
Primary practice location
9675 E Elm Rd
Poplar, WI 54864-9102
Mailing address
4000 N. Providence Avenue
Appleton, WI 54913-8018
Phone (920) 257-2000
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 36138200 | Medicaid | WI |
Other names
- Amy M. Fairfield
Other providers in Poplar, WI
- Eve Bagan
- Jessica Lynn Beckman
- Kyle Johnson
- Kerry L. Lahti
- Northwoods Family Chiropractic
- Orthopedic & Spine Therapy of Poplar, SC
- Orthopedic & Spine Therapy of Poplar, SC
- The Lakes Community Health Center, Inc
All providers in Poplar, 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 May 2, 2008. 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.