Provider Demographics
NPI:1952551921
Name:CYZE, AMANDA M (DPT, ATC)
Entity Type:Individual
Prefix:
First Name:AMANDA
Middle Name:M
Last Name:CYZE
Suffix:
Gender:F
Credentials:DPT, ATC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1880 RADFORD RD
Mailing Address - Street 2:
Mailing Address - City:DUBUQUE
Mailing Address - State:IA
Mailing Address - Zip Code:52002-2272
Mailing Address - Country:US
Mailing Address - Phone:563-557-9618
Mailing Address - Fax:
Practice Address - Street 1:1880 RADFORD RD
Practice Address - Street 2:#320
Practice Address - City:DUBUQUE
Practice Address - State:IA
Practice Address - Zip Code:52002-2272
Practice Address - Country:US
Practice Address - Phone:563-557-9618
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-09-25
Last Update Date:2010-08-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA03470225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist