Provider Demographics
NPI:1225752306
Name:HORSELL, AMY KATHLEEN
Entity Type:Individual
Prefix:
First Name:AMY
Middle Name:KATHLEEN
Last Name:HORSELL
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:64 POWDERHORN DR
Mailing Address - Street 2:
Mailing Address - City:PHOENIXVILLE
Mailing Address - State:PA
Mailing Address - Zip Code:19460-2618
Mailing Address - Country:US
Mailing Address - Phone:484-302-9565
Mailing Address - Fax:
Practice Address - Street 1:64 POWDERHORN DR
Practice Address - Street 2:
Practice Address - City:PHOENIXVILLE
Practice Address - State:PA
Practice Address - Zip Code:19460-2618
Practice Address - Country:US
Practice Address - Phone:484-302-9565
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-10-03
Last Update Date:2022-10-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program
No225500000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/Technologist