Individual
AMY JO HINMAN II
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
10000 W 75TH ST STE 250, MERRIAM, KS 66204-2218
(888) 913-1910
(877) 913-1174
Mailing address
610 S 16TH ST, BLAIR, NE 68008-2203
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
001320
STATE LICENSE
IA
01
—
860
STATE LICENSE
NE
Enumeration date
08/27/2009
Last updated
08/27/2009
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