Provider Demographics
NPI:1841038551
Name:YAPP, AMY S (LMT)
Entity type:Individual
Prefix:
First Name:AMY
Middle Name:S
Last Name:YAPP
Suffix:
Gender:F
Credentials:LMT
Other - Prefix:
Other - First Name:AMY
Other - Middle Name:DEBORD
Other - Last Name:RIGGS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LMT
Mailing Address - Street 1:2084 RAILROAD VINE DR APT 210
Mailing Address - Street 2:
Mailing Address - City:ODESSA
Mailing Address - State:FL
Mailing Address - Zip Code:33556-4497
Mailing Address - Country:US
Mailing Address - Phone:656-217-2376
Mailing Address - Fax:
Practice Address - Street 1:2084 RAILROAD VINE DR APT 210
Practice Address - Street 2:
Practice Address - City:ODESSA
Practice Address - State:FL
Practice Address - Zip Code:33556-4497
Practice Address - Country:US
Practice Address - Phone:656-217-2376
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-07-17
Last Update Date:2024-07-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMA99375225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist