Provider Demographics
NPI:1700229333
Name:LARKIN, AMY MICHELE (PT)
Entity Type:Individual
Prefix:MRS
First Name:AMY
Middle Name:MICHELE
Last Name:LARKIN
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5101 MARYLAND WAY
Mailing Address - Street 2:
Mailing Address - City:BRENTWOOD
Mailing Address - State:TN
Mailing Address - Zip Code:37027-7509
Mailing Address - Country:US
Mailing Address - Phone:615-369-0906
Mailing Address - Fax:615-369-0908
Practice Address - Street 1:5101 MARYLAND WAY
Practice Address - Street 2:
Practice Address - City:BRENTWOOD
Practice Address - State:TN
Practice Address - Zip Code:37027-7509
Practice Address - Country:US
Practice Address - Phone:615-369-0906
Practice Address - Fax:615-369-0908
Is Sole Proprietor?:No
Enumeration Date:2013-04-12
Last Update Date:2013-04-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNPT00000055302251X0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2251X0800XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistOrthopedic