Provider Demographics
NPI:1366734204
Name:HOYT, AMBER DIANE (PT, DPT)
Entity type:Individual
Prefix:
First Name:AMBER
Middle Name:DIANE
Last Name:HOYT
Suffix:
Gender:F
Credentials:PT, DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10 COBBLESTONE CREEK CT
Mailing Address - Street 2:
Mailing Address - City:LITTLE ROCK
Mailing Address - State:AR
Mailing Address - Zip Code:72210-4779
Mailing Address - Country:US
Mailing Address - Phone:501-353-2739
Mailing Address - Fax:
Practice Address - Street 1:10 COBBLESTONE CREEK CT
Practice Address - Street 2:
Practice Address - City:LITTLE ROCK
Practice Address - State:AR
Practice Address - Zip Code:72210-4779
Practice Address - Country:US
Practice Address - Phone:501-353-2739
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-05-11
Last Update Date:2011-05-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ARPT2589225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist