Individual
MS. AMY LYNN PHIPPS-POE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.T.
Contact information
Practice address
1503 7TH AVE, TWO HARBORS, MN 55616-1102
(218) 834-2586
(218) 834-2587
Mailing address
1503 7TH AVE, TWO HARBORS, MN 55616-1102
(218) 834-2586
(218) 834-2587
Taxonomy
Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
5707
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5707
STATE OF MN BOARD OF PT
MN
01
—
5707
STATE OF WI BOARD OF PT
WI
Enumeration date
01/29/2007
Last updated
02/15/2008
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