Amy M Barr-Tickle, PT
Individual provider Active NPI Physical Therapist · Mt Pleasant, MI
NPI 1992233126 · NPPES record last updated Jun 21, 2018
Key facts
- NPI
- 1992233126
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- 5501010655 (MI)
- Practice address
- 1106 W High St
Mt Pleasant, MI 48858 - Phone
- (989) 779-2920
- Fax
- (989) 772-9424
- NPI assigned
- Jun 1, 2017
- 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)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5501010655 | MI | MD | Physical Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 5501010655 | MI | Yes |
Addresses
Primary practice location
1106 W High St
Mt Pleasant, MI 48858
Mailing address
1206 N Fancher Ave
Mt Pleasant, MI 48858-4608
Other providers in Mt Pleasant, MI
- Paul Barbu
- Tyler Thomas Barczewski
- Jeffrey J. Barnes
- Alifiya Barodawalla
- Rumana Anis Barodawalla
- Michael James Barrett
- Tad J Bartz
- Gerrit Jesse Bashaw
- Trisha Marie Bassett
- Douglas Walter Batchelder
All providers in Mt Pleasant, MI · Physical Therapist in Michigan
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 21, 2018. 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.