Provider Demographics
NPI:1700367620
Name:BOYD, AMBER (PT, DPT, DHSC, SCS)
Entity Type:Individual
Prefix:
First Name:AMBER
Middle Name:
Last Name:BOYD
Suffix:
Gender:F
Credentials:PT, DPT, DHSC, SCS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:504 GENERAL DR
Mailing Address - Street 2:
Mailing Address - City:FT WRIGHT
Mailing Address - State:KY
Mailing Address - Zip Code:41011-1836
Mailing Address - Country:US
Mailing Address - Phone:765-265-5030
Mailing Address - Fax:
Practice Address - Street 1:222 PIEDMONT AVE STE 2300
Practice Address - Street 2:
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45219-4215
Practice Address - Country:US
Practice Address - Phone:513-621-7777
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-08-28
Last Update Date:2018-08-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHPT0128172251S0007X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2251S0007XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistSports