MEDICARE: DR. AMY YORKE PT, PHD, NCS

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
1	2251N0400X	Neurology Physical Therapist	5501006133	MI

General Provider Information

NPI Number	:	1710302617
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. AMY YORKE PT, PHD, NCS

Provider Business Mailing Address
First Line	:	303 E KEARSLEY ST
Second Line	:
City	:	FLINT
State	:	MI
Zip	:	48502-1907
Country	:	US
Telephone Number	:	810-424-5269
Fax Number	:	810-424-5374

Provider Business Practice Location Address
First Line	:	303 E KEARSLEY ST
Second Line	:
City	:	FLINT
State	:	MI
Zip	:	48502-1907
Country	:	US
Telephone Number	:	810-424-5269
Fax Number	:	810-424-5374

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/28/2014
Last Update Date	:	02/28/2014

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