Provider Demographics
NPI:1316425978
Name:JONARD, AMY (DPT)
Entity type:Individual
Prefix:
First Name:AMY
Middle Name:
Last Name:JONARD
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:
Other - First Name:AMY
Other - Middle Name:
Other - Last Name:BONTRAGER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DPT
Mailing Address - Street 1:4611 TRUEMAN BLVD STE B
Mailing Address - Street 2:
Mailing Address - City:HILLIARD
Mailing Address - State:OH
Mailing Address - Zip Code:43026-2644
Mailing Address - Country:US
Mailing Address - Phone:143-400-6836
Mailing Address - Fax:614-345-0734
Practice Address - Street 1:4611 TRUEMAN BLVD STE B
Practice Address - Street 2:
Practice Address - City:HILLIARD
Practice Address - State:OH
Practice Address - Zip Code:43026-2644
Practice Address - Country:US
Practice Address - Phone:614-340-0683
Practice Address - Fax:614-345-0734
Is Sole Proprietor?:No
Enumeration Date:2018-08-05
Last Update Date:2021-01-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHPT018362225100000X
KY007424225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist