Individual
AMY S TICHY-SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MPT
Contact information
Practice address
3206 MAIN AVE UNIT 5, DURANGO, CO 81301-4202
(970) 247-9632
(970) 247-9642
Mailing address
3206 MAIN AVE UNIT 5, DURANGO, CO 81301-4202
(970) 247-9632
(970) 247-9642
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
4117
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
52430324
—
CO
Enumeration date
04/03/2006
Last updated
07/21/2022
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