Provider Demographics
NPI:1427366046
Name:GREEVE, AMALIE R (PTA)
Entity Type:Individual
Prefix:MRS
First Name:AMALIE
Middle Name:R
Last Name:GREEVE
Suffix:
Gender:F
Credentials:PTA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3512 SW FAIRLAWN ROAD
Mailing Address - Street 2:SUITE 200
Mailing Address - City:TOPEKA
Mailing Address - State:KS
Mailing Address - Zip Code:66614-3981
Mailing Address - Country:US
Mailing Address - Phone:785-271-7246
Mailing Address - Fax:785-271-7249
Practice Address - Street 1:3512 SW FAIRLAWN ROAD
Practice Address - Street 2:SUITE 200
Practice Address - City:TOPEKA
Practice Address - State:KS
Practice Address - Zip Code:66614-3981
Practice Address - Country:US
Practice Address - Phone:785-271-7246
Practice Address - Fax:785-271-7249
Is Sole Proprietor?:No
Enumeration Date:2010-09-16
Last Update Date:2010-09-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS14-01883225200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225200000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapy Assistant