Provider Demographics
NPI:1841867462
Name:LEE, AMBER SKYE (ATC)
Entity type:Individual
Prefix:
First Name:AMBER
Middle Name:SKYE
Last Name:LEE
Suffix:
Gender:F
Credentials:ATC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1454 NW YANKEE DR
Mailing Address - Street 2:
Mailing Address - City:BLUE SPRINGS
Mailing Address - State:MO
Mailing Address - Zip Code:64015-3808
Mailing Address - Country:US
Mailing Address - Phone:612-500-7010
Mailing Address - Fax:
Practice Address - Street 1:2005 NE JEFFERSON ST
Practice Address - Street 2:
Practice Address - City:BLUE SPRINGS
Practice Address - State:MO
Practice Address - Zip Code:64029
Practice Address - Country:US
Practice Address - Phone:612-500-7010
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-06-10
Last Update Date:2021-06-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer