Provider Demographics
NPI:1023025145
Name:TOENJES, AMY MARIE (PT)
Entity Type:Individual
Prefix:
First Name:AMY
Middle Name:MARIE
Last Name:TOENJES
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:54264 310TH ST
Mailing Address - Street 2:
Mailing Address - City:GROVE CITY
Mailing Address - State:MN
Mailing Address - Zip Code:56243-3800
Mailing Address - Country:US
Mailing Address - Phone:320-221-0237
Mailing Address - Fax:320-693-4561
Practice Address - Street 1:439 WILLIAM AVE E
Practice Address - Street 2:
Practice Address - City:DASSEL
Practice Address - State:MN
Practice Address - Zip Code:55325-1102
Practice Address - Country:US
Practice Address - Phone:320-275-3308
Practice Address - Fax:320-275-3433
Is Sole Proprietor?:No
Enumeration Date:2006-08-02
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN6243225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist