Healthcare Provider Details

I. General information

NPI: 1619865243
Provider Name (Legal Business Name): HANNAH AMHOF
Entity Type: Individual
Gender:
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/24/2025
Last Update Date: 04/29/2026
Certification Date: 04/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10474 W THUNDERBIRD BLVD STE 200
SUN CITY AZ
85351-3015
US

IV. Provider business mailing address

10474 W THUNDERBIRD BLVD STE 200
SUN CITY AZ
85351-3015
US

V. Phone/Fax

Practice location:
  • Phone: 623-219-4475
  • Fax:
Mailing address:
  • Phone: 623-219-4475
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License NumberLPT034725
License Number StateAZ
# 2
Primary TaxonomyN
Taxonomy Code2251X0800X
TaxonomyOrthopedic Physical Therapist
License Number131374
License Number StateIA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: