Provider Demographics
NPI:1164433231
Name:FIFE, AMY HILL (PT)
Entity Type:Individual
Prefix:
First Name:AMY
Middle Name:HILL
Last Name:FIFE
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:AMY
Other - Middle Name:
Other - Last Name:HILL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PT, MPT
Mailing Address - Street 1:2088 HODESHA CT
Mailing Address - Street 2:
Mailing Address - City:GRAND JUNCTION
Mailing Address - State:CO
Mailing Address - Zip Code:81507-1049
Mailing Address - Country:US
Mailing Address - Phone:970-589-9049
Mailing Address - Fax:970-826-7026
Practice Address - Street 1:2232 N 7TH ST
Practice Address - Street 2:STE. 8
Practice Address - City:GRAND JUNCTION
Practice Address - State:CO
Practice Address - Zip Code:81501-7459
Practice Address - Country:US
Practice Address - Phone:970-589-9049
Practice Address - Fax:970-826-7026
Is Sole Proprietor?:No
Enumeration Date:2006-08-11
Last Update Date:2013-05-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COPTL0009420225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist