Provider Demographics
NPI:1598646721
Name:MISKELLY, AMY LEIGH DYESS (PT, DPT)
Entity type:Individual
Prefix:
First Name:AMY
Middle Name:LEIGH DYESS
Last Name:MISKELLY
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 1:405 RIDGEVIEW TRL
Mailing Address - Street 2:
Mailing Address - City:MCKINNEY
Mailing Address - State:TX
Mailing Address - Zip Code:75071-3403
Mailing Address - Country:US
Mailing Address - Phone:601-813-5934
Mailing Address - Fax:
Practice Address - Street 1:405 RIDGEVIEW TRL
Practice Address - Street 2:
Practice Address - City:MCKINNEY
Practice Address - State:TX
Practice Address - Zip Code:75071-3403
Practice Address - Country:US
Practice Address - Phone:601-813-5934
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-09-12
Last Update Date:2025-09-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1332340225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist