Provider Demographics
NPI:1215694351
Name:PADFIELD, AMY
Entity type:Individual
Prefix:MRS
First Name:AMY
Middle Name:
Last Name:PADFIELD
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:420 N 1100 E
Mailing Address - Street 2:
Mailing Address - City:GREENTOWN
Mailing Address - State:IN
Mailing Address - Zip Code:46936-8760
Mailing Address - Country:US
Mailing Address - Phone:765-437-9900
Mailing Address - Fax:
Practice Address - Street 1:329 RAINBOW DR
Practice Address - Street 2:
Practice Address - City:KOKOMO
Practice Address - State:IN
Practice Address - Zip Code:46902-3869
Practice Address - Country:US
Practice Address - Phone:765-455-1700
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-11-23
Last Update Date:2021-11-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225200000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapy Assistant