| NPI | 1205898863 |
|---|---|
| Former Name | AMY L MASSINGILL |
| Entity Type | Individual |
| Gender | N/A |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NM 2930) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: CO 8249) |
| Enumeration Date | 2006-04-06 |
| Last Update Date | 2007-07-08 |