Provider Demographics
NPI:1922177708
Name:RYGMYR, AMY
Entity Type:Individual
Prefix:
First Name:AMY
Middle Name:
Last Name:RYGMYR
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10774 MONTVALE CIR
Mailing Address - Street 2:
Mailing Address - City:HIGHLANDS RANCH
Mailing Address - State:CO
Mailing Address - Zip Code:80130-6901
Mailing Address - Country:US
Mailing Address - Phone:720-253-6730
Mailing Address - Fax:
Practice Address - Street 1:3355 S WADSWORTH BLVD UNIT F107
Practice Address - Street 2:
Practice Address - City:LAKEWOOD
Practice Address - State:CO
Practice Address - Zip Code:80227-5123
Practice Address - Country:US
Practice Address - Phone:303-980-6762
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-11-07
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO8560OtherLICENSE#