Healthcare Provider Details

I. General information

NPI: 1568537611
Provider Name (Legal Business Name): AMY H. SOWERS PT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/22/2006
Last Update Date: 07/21/2022
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

322 NORTH BUCKMARSH ST. SUITE A
BERRYVILLE VA
22611-1025
US

IV. Provider business mailing address

322 NORTH BUCKMARSH ST. SUITE A
BERRYVILLE VA
22611-1025
US

V. Phone/Fax

Practice location:
  • Phone: 540-955-1837
  • Fax: 540-955-1838
Mailing address:
  • Phone: 540-955-1837
  • Fax: 540-955-1838

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number2305003693
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: