Provider Demographics
NPI:1871022210
Name:ENRIGHT, AMBER L (PT, DPT)
Entity Type:Individual
Prefix:DR
First Name:AMBER
Middle Name:L
Last Name:ENRIGHT
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 1:1675 E MORTEN AVE UNIT 4155
Mailing Address - Street 2:
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85020-4747
Mailing Address - Country:US
Mailing Address - Phone:480-797-1403
Mailing Address - Fax:
Practice Address - Street 1:1675 E MORTEN AVE
Practice Address - Street 2:4155
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85020
Practice Address - Country:US
Practice Address - Phone:480-797-1403
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-06-08
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ9853225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZ9853OtherARIZONA BOARD OF PHYSICAL THERAPY LICENSE NUMBER