Provider Demographics
NPI:1568684918
Name:COY, AMY B (MPT)
Entity Type:Individual
Prefix:MRS
First Name:AMY
Middle Name:B
Last Name:COY
Suffix:
Gender:F
Credentials:MPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:6341 MARSHALL ST
Mailing Address - Street 2:
Mailing Address - City:MERRILLVILLE
Mailing Address - State:IN
Mailing Address - Zip Code:46410-2887
Mailing Address - Country:US
Mailing Address - Phone:219-322-2037
Mailing Address - Fax:219-322-9787
Practice Address - Street 1:221 US HIGHWAY 41
Practice Address - Street 2:SUITE G
Practice Address - City:SCHERERVILLE
Practice Address - State:IN
Practice Address - Zip Code:46375-1277
Practice Address - Country:US
Practice Address - Phone:219-322-2037
Practice Address - Fax:219-322-9787
Is Sole Proprietor?:No
Enumeration Date:2007-05-03
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN05004182A2251P0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2251P0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistPediatrics