Provider Demographics
NPI:1770924052
Name:TALCOTT, AMBER H (DPT)
Entity type:Individual
Prefix:
First Name:AMBER
Middle Name:H
Last Name:TALCOTT
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:
Other - First Name:AMBER
Other - Middle Name:H
Other - Last Name:LEE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DPT
Mailing Address - Street 1:600 JEFFERSON AVE FL 3
Mailing Address - Street 2:
Mailing Address - City:MEMPHIS
Mailing Address - State:TN
Mailing Address - Zip Code:38105-4900
Mailing Address - Country:US
Mailing Address - Phone:720-364-8287
Mailing Address - Fax:
Practice Address - Street 1:600 JEFFERSON AVE FL 3
Practice Address - Street 2:
Practice Address - City:MEMPHIS
Practice Address - State:TN
Practice Address - Zip Code:38105-4900
Practice Address - Country:US
Practice Address - Phone:720-364-8287
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-07-15
Last Update Date:2020-04-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ARPT 3598225100000X
TN9609225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist