Provider Demographics
NPI:1568919066
Name:BARWICK, AMY E (DPT)
Entity Type:Individual
Prefix:
First Name:AMY
Middle Name:E
Last Name:BARWICK
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:
Other - First Name:AMY
Other - Middle Name:E
Other - Last Name:GARVIN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DPT
Mailing Address - Street 1:2901 WEST KINNICKINNI RIVER PARKWAY
Mailing Address - Street 2:SUITE 500
Mailing Address - City:MILWAUKEE
Mailing Address - State:WI
Mailing Address - Zip Code:53219-1628
Mailing Address - Country:US
Mailing Address - Phone:414-649-3250
Mailing Address - Fax:414-649-3245
Practice Address - Street 1:2901 W KINNICKINNIC RIVER PKWY
Practice Address - Street 2:SUITE 500
Practice Address - City:MILWAUKEE
Practice Address - State:WI
Practice Address - Zip Code:53215-3677
Practice Address - Country:US
Practice Address - Phone:414-649-3250
Practice Address - Fax:414-649-3245
Is Sole Proprietor?:No
Enumeration Date:2016-09-01
Last Update Date:2019-02-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI12991-24225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist