Provider Demographics
NPI:1285956425
Name:AMY K KIRCHHOFF & ASSOCIATES PC
Entity type:Organization
Organization Name:AMY K KIRCHHOFF & ASSOCIATES PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:AMY
Authorized Official - Middle Name:K
Authorized Official - Last Name:WEINHEIMER
Authorized Official - Suffix:
Authorized Official - Credentials:DPT
Authorized Official - Phone:434-817-2697
Mailing Address - Street 1:2335 SEMINOLE LN
Mailing Address - Street 2:SUITE 600A
Mailing Address - City:CHARLOTTESVILLE
Mailing Address - State:VA
Mailing Address - Zip Code:22901-8303
Mailing Address - Country:US
Mailing Address - Phone:434-817-2697
Mailing Address - Fax:434-975-4495
Practice Address - Street 1:2335 SEMINOLE LN
Practice Address - Street 2:SUITE 600A
Practice Address - City:CHARLOTTESVILLE
Practice Address - State:VA
Practice Address - Zip Code:22901-8303
Practice Address - Country:US
Practice Address - Phone:434-817-2697
Practice Address - Fax:434-975-4495
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-02-15
Last Update Date:2010-02-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA2307000162225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty