Provider Demographics
NPI:1629293634
Name:YUNKER, AMY CHRISTINA (MPT)
Entity Type:Individual
Prefix:
First Name:AMY
Middle Name:CHRISTINA
Last Name:YUNKER
Suffix:
Gender:F
Credentials:MPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:290 PERSIMMON CIR
Mailing Address - Street 2:
Mailing Address - City:BOONVILLE
Mailing Address - State:IN
Mailing Address - Zip Code:47601-8479
Mailing Address - Country:US
Mailing Address - Phone:812-897-0646
Mailing Address - Fax:
Practice Address - Street 1:1579 S FOLSOMVILLE RD
Practice Address - Street 2:
Practice Address - City:BOONVILLE
Practice Address - State:IN
Practice Address - Zip Code:47601-9465
Practice Address - Country:US
Practice Address - Phone:812-897-4840
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-04-16
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN05006660A225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist