Provider Demographics
NPI:1164511861
Name:YAPLE, AMY SUE (LMT)
Entity Type:Individual
Prefix:MS
First Name:AMY
Middle Name:SUE
Last Name:YAPLE
Suffix:
Gender:F
Credentials:LMT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:603 DIVISION ST.
Mailing Address - Street 2:
Mailing Address - City:NORTH TONAWANDA
Mailing Address - State:NY
Mailing Address - Zip Code:14120
Mailing Address - Country:US
Mailing Address - Phone:716-692-2160
Mailing Address - Fax:716-332-3658
Practice Address - Street 1:624 RIVER RD
Practice Address - Street 2:STE 1
Practice Address - City:N TONAWANDA
Practice Address - State:NY
Practice Address - Zip Code:14120-6563
Practice Address - Country:US
Practice Address - Phone:716-693-2464
Practice Address - Fax:716-693-9022
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-12
Last Update Date:2014-01-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY016599225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist