Provider Demographics
NPI:1548698798
Name:SPRING, AMY D (PT)
Entity type:Individual
Prefix:
First Name:AMY
Middle Name:D
Last Name:SPRING
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:AMY
Other - Middle Name:D
Other - Last Name:DAVIS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PT
Mailing Address - Street 1:2050 CLINTON AVE S
Mailing Address - Street 2:
Mailing Address - City:ROCHESTER
Mailing Address - State:NY
Mailing Address - Zip Code:14618-5727
Mailing Address - Country:US
Mailing Address - Phone:585-720-9608
Mailing Address - Fax:585-720-5484
Practice Address - Street 1:2050 CLINTON AVE S
Practice Address - Street 2:
Practice Address - City:ROCHESTER
Practice Address - State:NY
Practice Address - Zip Code:14618-5727
Practice Address - Country:US
Practice Address - Phone:585-720-9608
Practice Address - Fax:585-720-5484
Is Sole Proprietor?:No
Enumeration Date:2013-10-25
Last Update Date:2013-10-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY012093-1225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist