Provider Demographics
NPI:1669040424
Name:RICHTER, AMY BETH (PT, DPT)
Entity Type:Individual
Prefix:
First Name:AMY
Middle Name:BETH
Last Name:RICHTER
Suffix:
Gender:F
Credentials:PT, DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 364
Mailing Address - Street 2:
Mailing Address - City:SYKESTON
Mailing Address - State:ND
Mailing Address - Zip Code:58486-0364
Mailing Address - Country:US
Mailing Address - Phone:218-469-3001
Mailing Address - Fax:
Practice Address - Street 1:800 4TH ST N
Practice Address - Street 2:
Practice Address - City:CARRINGTON
Practice Address - State:ND
Practice Address - Zip Code:58421-1217
Practice Address - Country:US
Practice Address - Phone:717-970-1652
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-06-16
Last Update Date:2023-09-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ225100000X
AZLPT-31839225100000X
ND2445225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist