Provider Demographics
NPI:1356488472
Name:YAMPOLSKY, AMBER (PT)
Entity type:Individual
Prefix:
First Name:AMBER
Middle Name:
Last Name:YAMPOLSKY
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 1:1205 BONNHAVEN DR.
Mailing Address - Street 2:
Mailing Address - City:FRANKLIN
Mailing Address - State:TN
Mailing Address - Zip Code:37067
Mailing Address - Country:US
Mailing Address - Phone:954-540-8458
Mailing Address - Fax:
Practice Address - Street 1:1702 TVC
Practice Address - Street 2:VANDERBILT CHILDREN'S HOSPITAL
Practice Address - City:NASHVILLE
Practice Address - State:TN
Practice Address - Zip Code:37232-5677
Practice Address - Country:US
Practice Address - Phone:615-343-6445
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-01-30
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNPT0000007499225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist