Amy Jo Elder, PTA
Individual provider Active NPI Physical Therapy Assistant · Wonewoc, WI
NPI 1902070543 · NPPES record last updated Apr 25, 2008
Key facts
- NPI
- 1902070543
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapy Assistant 225200000X
- License
- 251-019 (WI)
- Practice address
- S142 State Road 33
Wonewoc, WI 53968-9642 - Phone
- (608) 393-1617
- Fax
- (608) 524-9181
- NPI assigned
- Apr 15, 2008
- 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 |
|---|---|---|---|
| 251-019 | WI | MD | Physical Therapy Assistant |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Assistant | 225200000X | 251-019 | WI | Yes |
Addresses
Primary practice location
S142 State Road 33
Wonewoc, WI 53968-9642
Mailing address
S142 State Road 33
Wonewoc, WI 53968-9642
Phone (608) 393-1617
Other providers in Wonewoc, WI
- Tracy Lynn Byrdy
- Lea G Cornell
- Jennifer Ann Fiegel-Newlon
- Gundersen Clinic, LTD.
- Chelsie Harrison
- Nicole Marie Lovelace
- Valerie Madsen
All providers in Wonewoc, 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 Apr 25, 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.