Provider Demographics
NPI:1245471119
Name:JONES, AMY S (PT MSPT)
Entity type:Individual
Prefix:
First Name:AMY
Middle Name:S
Last Name:JONES
Suffix:
Gender:F
Credentials:PT MSPT
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 438
Mailing Address - Street 2:
Mailing Address - City:BEATTYVILLE
Mailing Address - State:KY
Mailing Address - Zip Code:41311-0438
Mailing Address - Country:US
Mailing Address - Phone:859-948-5588
Mailing Address - Fax:
Practice Address - Street 1:28 RAILROAD ST.
Practice Address - Street 2:SUITE B
Practice Address - City:BEATTYVILLE
Practice Address - State:KY
Practice Address - Zip Code:41311
Practice Address - Country:US
Practice Address - Phone:859-948-5588
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-03-23
Last Update Date:2009-03-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY005021225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist