Carroll, Amy
Carroll, Amy is an individual health care provider with primary practice located at N2950 State Road 67 , Lake Geneva WI 53147-2655. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapy Assistant, which is considered as her primary health care specialty. Carroll, Amy can be contacted via phone (262) 245-0535.Contact Information
Primary practice address
N2950 State Road 67
Lake Geneva WI 53147-2655
Phone: (262) 245-0535
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapy Assistant | 225200000X | 1820-19 | Wisconsin |
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapy Assistant | 225200000X | 160005984 | Illinois |
Profile Details
| NPI number | 1306126115 |
|---|---|
| LBN Legal business name | Carroll, Amy |
| Credentials | Physical Therapist Assistant (PTA) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 24th, 2011 |
| Last updated | Aug 29th, 2012 - about 14 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Popular Providers
-
Radke, Laurie Ann
901 Mulberry St , Lake Mills WI 53551-1335 -
Thomas, Karen Michelle
1700 W Stout St , Rice Lake WI 54868-5000 -
Johnson, Breanna
700 Geneva Pkwy N , Lake Geneva WI 53147-4594 -
Moen, Kristen Leigh
1700 W Stout St , Rice Lake WI 54868-5000 -
Stefanich, David C
N9480 County Road B , Summit Lake WI 54485-9776 -
Geyso, Matthew J
N2950 State Road 67 , Lake Geneva WI 53147-2655 -
Caucutt, Kimberly Ann
901 Mulberry St , Lake Mills WI 53551-1335 -
Kusters, Nicole Lee
310 W Depot St , Silver Lake WI 53170-1529