Provider Demographics
NPI:1548385008
Name:DUFFY, AMY ELIZABETH (PT, MS)
Entity Type:Individual
Prefix:
First Name:AMY
Middle Name:ELIZABETH
Last Name:DUFFY
Suffix:
Gender:F
Credentials:PT, MS
Other - Prefix:
Other - First Name:AMY
Other - Middle Name:E
Other - Last Name:DUFFY
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MSBS, PT
Mailing Address - Street 1:1200 CORPORATE DR STE 400
Mailing Address - Street 2:
Mailing Address - City:HOOVER
Mailing Address - State:AL
Mailing Address - Zip Code:35242-5424
Mailing Address - Country:US
Mailing Address - Phone:423-238-7217
Mailing Address - Fax:423-238-3721
Practice Address - Street 1:916 LOGANVILLE HWY STE 1130
Practice Address - Street 2:
Practice Address - City:BETHLEHEM
Practice Address - State:GA
Practice Address - Zip Code:30620-2153
Practice Address - Country:US
Practice Address - Phone:770-867-7463
Practice Address - Fax:770-307-0383
Is Sole Proprietor?:No
Enumeration Date:2007-03-20
Last Update Date:2021-05-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH011712225100000X
GAPT010473225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist