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NPI Code Detail

MEDICARE: AMY GROSHONG DPT,CSCS

MEDICARE:   AMY  GROSHONG  DPT,CSCS
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225100000XPhysical Therapist2580NV

General Provider Information

NPI Number : 1285914648
Entity Type Code : Individual
Provider Name (Legal Business Name) : AMY GROSHONG DPT,CSCS
Provider Business Mailing Address
First Line : 9480 DOUBLE DIAMOND PKWY STE 100
Second Line :
City : RENO
State : NV
Zip : 89521-5844
Country : US
Telephone Number : 775-786-1600
Fax Number : 775-786-7706
Provider Business Practice Location Address
First Line : 9480 DOUBLE DIAMOND PKWY STE 100
Second Line :
City : RENO
State : NV
Zip : 89521-5844
Country : US
Telephone Number : 775-786-1600
Fax Number : 775-786-7706
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/17/2011
Last Update Date : 04/20/2026

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Directions to “ AMY GROSHONG DPT,CSCS” Practice Location

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