Amy Wisdom

Physical Therapy Assistant · Lisle, IL

Individual Active NPI

NPI number 1962111914

Practice location

1800 Robin Ln
Lisle, IL 60532-2086
Phone
(630) 353-5508

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NPI record

NPI
1962111914
Entity type
Individual (Type 1)
Enumeration date
November 18, 2022
Last updated
November 18, 2022
Certified
November 18, 2022
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Physical Therapy Assistant Primary 225200000X 160.006246 IL

Mailing address

117 Grant Ave
Geneva, IL 60134-1919

About Amy Wisdom

Amy Wisdom is a healthcare provider registered in the NPI registry with the primary taxonomy Physical Therapy Assistant (code 225200000X). The practice location is 1800 Robin Ln, Lisle, IL 60532-2086. The NPI number 1962111914 was assigned on November 18, 2022 and the record was last updated on November 18, 2022.

Amy Wisdom lists a license in the registry: #160.006246 (IL) for Physical Therapy Assistant. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Amy Wisdom?

The NPI number is 1962111914.

What is the phone number of Amy Wisdom?

The phone number listed for the practice location is (630) 353-5508.

Where is Amy Wisdom located?

1800 Robin Ln, Lisle, IL 60532-2086.

What is the taxonomy code for Amy Wisdom?

The primary taxonomy code is 225200000X – Physical Therapy Assistant.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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