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NPI Code Detail

MEDICARE: AMY MICHELLE BRANNON PT, DPT, FAAOMPT

MEDICARE: AMY MICHELLE BRANNON PT, DPT, FAAOMPT
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 Therapist8042AZ

General Provider Information

NPI Number : 1346412384
Entity Type Code : Individual
Provider Name (Legal Business Name) : AMY MICHELLE BRANNON PT, DPT, FAAOMPT
Provider Business Mailing Address
First Line : 5353 N 16TH ST STE 120
Second Line :
City : PHOENIX
State : AZ
Zip : 85016-3282
Country : US
Telephone Number : 602-826-0037
Fax Number : 480-275-6310
Provider Business Practice Location Address
First Line : 5353 N 16TH ST STE 120
Second Line :
City : PHOENIX
State : AZ
Zip : 85016-3282
Country : US
Telephone Number : 602-826-0037
Fax Number : 480-275-6310
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/31/2008
Last Update Date : 01/30/2026

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Directions to “ AMY MICHELLE BRANNON PT, DPT, FAAOMPT” Practice Location

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