Provider Demographics
NPI:1154483147
Name:KEATING, AMY TRIGO (DPT)
Entity Type:Individual
Prefix:MRS
First Name:AMY
Middle Name:TRIGO
Last Name:KEATING
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:
Other - First Name:AMY
Other - Middle Name:CHRISTINE
Other - Last Name:TRIGO
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DPT
Mailing Address - Street 1:9051 TAMIAMI TRL N
Mailing Address - Street 2:SUITE 104
Mailing Address - City:NAPLES
Mailing Address - State:FL
Mailing Address - Zip Code:34108-2596
Mailing Address - Country:US
Mailing Address - Phone:239-591-4711
Mailing Address - Fax:239-593-1195
Practice Address - Street 1:9051 TAMIAMI TRL N
Practice Address - Street 2:SUITE 104
Practice Address - City:NAPLES
Practice Address - State:FL
Practice Address - Zip Code:34108-2596
Practice Address - Country:US
Practice Address - Phone:239-591-4711
Practice Address - Fax:239-593-1195
Is Sole Proprietor?:No
Enumeration Date:2006-12-15
Last Update Date:2009-11-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPT25035225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
KY617504Medicare ID - Type Unspecified