Provider Demographics
NPI:1457546491
Name:RINGSVEN, AMY ECKERSTROM (LPTA)
Entity Type:Individual
Prefix:MRS
First Name:AMY
Middle Name:ECKERSTROM
Last Name:RINGSVEN
Suffix:
Gender:F
Credentials:LPTA
Other - Prefix:MISS
Other - First Name:AMY
Other - Middle Name:CHRISTINE
Other - Last Name:ECKERSTROM
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LPTA
Mailing Address - Street 1:2830 EVERGREEN LN N
Mailing Address - Street 2:
Mailing Address - City:PLYMOUTH
Mailing Address - State:MN
Mailing Address - Zip Code:55441-3032
Mailing Address - Country:US
Mailing Address - Phone:828-550-1233
Mailing Address - Fax:
Practice Address - Street 1:2830 EVERGREEN LN N
Practice Address - Street 2:
Practice Address - City:PLYMOUTH
Practice Address - State:MN
Practice Address - Zip Code:55441-3032
Practice Address - Country:US
Practice Address - Phone:828-550-1233
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-09-12
Last Update Date:2007-09-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC3089225200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225200000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapy Assistant