Individual
AMY MICHELLE HERNANDEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
2013 S COULTER ST, AMARILLO, TX 79106-2521
(806) 418-3800
Mailing address
9630 HIGHLAND SPRINGS DR, AMARILLO, TX 79119-8063
(064) 183-8008
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1115319
TX
2251X0800X
Orthopedic Physical Therapist
1115319
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
175387301
—
TX
Enumeration date
08/20/2006
Last updated
01/17/2024
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