Individual
AMY JEAN HUSSEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
147 SW SHEVLIN HIXON DR STE 104, BEND, OR 97702-3185
(541) 312-2252
(541) 312-8822
Mailing address
147 SW SHEVLIN HIXON DR STE 104, BEND, OR 97702-3185
(541) 312-2252
(541) 312-8822
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
4011
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4011
PT LICENSE
OR
Enumeration date
05/05/2021
Last updated
05/05/2021
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