Provider Demographics
NPI:1215133046
Name:WEIFORD, AMY JEAN (RRT)
Entity type:Individual
Prefix:MRS
First Name:AMY
Middle Name:JEAN
Last Name:WEIFORD
Suffix:
Gender:F
Credentials:RRT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:821 SE INNSBRUCK DR
Mailing Address - Street 2:
Mailing Address - City:ANKENY
Mailing Address - State:IA
Mailing Address - Zip Code:50021-3620
Mailing Address - Country:US
Mailing Address - Phone:515-963-4464
Mailing Address - Fax:
Practice Address - Street 1:821 SE INNSBRUCK DR
Practice Address - Street 2:
Practice Address - City:ANKENY
Practice Address - State:IA
Practice Address - Zip Code:50021-3620
Practice Address - Country:US
Practice Address - Phone:515-963-4464
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-06-27
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA022612279G1100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2279G1100XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersRespiratory Therapist, RegisteredGeneral Care