Healthcare Provider Details

I. General information

NPI: 1043269111
Provider Name (Legal Business Name): AMY S FLUG PT,DPT,OSC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: AMY S FLUG PT,DPT,OSC

II. Dates (important events)

Enumeration Date: 05/08/2006
Last Update Date: 10/03/2024
Certification Date: 09/30/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3028 COMMERCIAL BOULEVARD
CHIPPEWA FALLS WI
54729-5078
US

IV. Provider business mailing address

3028 COMMERCIAL BOULEVARD
CHIPPEWA FALLS WI
54729-5078
US

V. Phone/Fax

Practice location:
  • Phone: 715-855-0426
  • Fax: 715-855-8766
Mailing address:
  • Phone: 715-855-0426
  • Fax: 715-855-8766

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2251X0800X
TaxonomyOrthopedic Physical Therapist
License Number10429-24
License Number StateWI
# 2
Primary TaxonomyN
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number10429-24
License Number StateWI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: