Provider Demographics
NPI:1801290754
Name:AMY HILL FIFE PHYSICAL THERAPY, PC
Entity type:Organization
Organization Name:AMY HILL FIFE PHYSICAL THERAPY, PC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/PHYSICAL THERAPIST
Authorized Official - Prefix:MRS
Authorized Official - First Name:AMY
Authorized Official - Middle Name:HILL
Authorized Official - Last Name:FIFE
Authorized Official - Suffix:
Authorized Official - Credentials:MPT
Authorized Official - Phone:970-589-9049
Mailing Address - Street 1:2088 HODESHA CT
Mailing Address - Street 2:
Mailing Address - City:GRAND JUNCTION
Mailing Address - State:CO
Mailing Address - Zip Code:81507-1049
Mailing Address - Country:US
Mailing Address - Phone:970-589-9049
Mailing Address - Fax:970-826-7026
Practice Address - Street 1:2232 N 7TH ST STE 8
Practice Address - Street 2:
Practice Address - City:GRAND JUNCTION
Practice Address - State:CO
Practice Address - Zip Code:81501-7454
Practice Address - Country:US
Practice Address - Phone:970-589-9049
Practice Address - Fax:970-826-7026
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-10-21
Last Update Date:2014-12-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO0009420225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty