Individual
AMY SHARP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
670 LEIGH DR, COLUMBUS, MS 39705-3014
(662) 328-1012
(662) 328-1507
Mailing address
670 LEIGH DR, COLUMBUS, MS 39705-3014
(662) 328-1012
(662) 328-1507
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT2996
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
08280304
—
MS
Enumeration date
08/22/2005
Last updated
06/17/2015
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