Healthcare Provider Details

I. General information

NPI: 1427270420
Provider Name (Legal Business Name): AMY MARGARET PLOEGER CMT
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/02/2007
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1125 LINCOLN AVENUE
STEAMBOAT SPRINGS CO
80487-9640
US

IV. Provider business mailing address

P. O. BOX 1085
OAK CREEK CO
80467-1085
US

V. Phone/Fax

Practice location:
  • Phone: 970-879-8040
  • Fax: 970-879-8041
Mailing address:
  • Phone: 970-736-6015
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code174400000X
TaxonomySpecialist
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: