Provider Demographics
NPI:1659674752
Name:KNIPPLING, AMY L (DPT)
Entity Type:Individual
Prefix:
First Name:AMY
Middle Name:L
Last Name:KNIPPLING
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3900 DAKOTA AVE
Mailing Address - Street 2:SUITE 6
Mailing Address - City:SOUTH SIOUX CITY
Mailing Address - State:NE
Mailing Address - Zip Code:68776
Mailing Address - Country:US
Mailing Address - Phone:402-494-5173
Mailing Address - Fax:402-494-5151
Practice Address - Street 1:3900 DAKOTA AVE
Practice Address - Street 2:SUITE 6
Practice Address - City:SOUTH SIOUX CITY
Practice Address - State:NE
Practice Address - Zip Code:68776
Practice Address - Country:US
Practice Address - Phone:402-494-5173
Practice Address - Fax:402-494-5151
Is Sole Proprietor?:No
Enumeration Date:2010-12-10
Last Update Date:2014-10-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SD1516225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist