Provider Demographics
NPI:1386004851
Name:FOSKETT, AMY J (DPT)
Entity Type:Individual
Prefix:
First Name:AMY
Middle Name:J
Last Name:FOSKETT
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:
Other - First Name:AMY
Other - Middle Name:J
Other - Last Name:SKILLINGS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:725 CEDAR GROVE RD
Mailing Address - Street 2:
Mailing Address - City:DRESDEN
Mailing Address - State:ME
Mailing Address - Zip Code:04342-3405
Mailing Address - Country:US
Mailing Address - Phone:207-315-1226
Mailing Address - Fax:
Practice Address - Street 1:725 CEDAR GROVE RD
Practice Address - Street 2:
Practice Address - City:DRESDEN
Practice Address - State:ME
Practice Address - Zip Code:04342-3405
Practice Address - Country:US
Practice Address - Phone:207-315-1226
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-02-26
Last Update Date:2019-04-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MEPT4579225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist