Healthcare Provider Details

I. General information

NPI: 1235068917
Provider Name (Legal Business Name): ALICIA AMYOTTE
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/18/2026
Last Update Date: 05/18/2026
Certification Date: 05/18/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2081 W FRYE RD STE 100
CHANDLER AZ
85224-6278
US

IV. Provider business mailing address

2081 W FRYE RD STE 100
CHANDLER AZ
85224-6278
US

V. Phone/Fax

Practice location:
  • Phone: 480-753-1459
  • Fax: 480-753-5311
Mailing address:
  • Phone: 480-753-1459
  • Fax: 480-753-5311

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code237700000X
TaxonomyHearing Instrument Specialist
License NumberTHAD17299
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: