Provider Demographics
NPI:1427270420
Name:PLOEGER, AMY MARGARET (CMT)
Entity type:Individual
Prefix:MS
First Name:AMY
Middle Name:MARGARET
Last Name:PLOEGER
Suffix:
Gender:F
Credentials:CMT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:P. O. BOX 1085
Mailing Address - Street 2:
Mailing Address - City:OAK CREEK
Mailing Address - State:CO
Mailing Address - Zip Code:80467-1085
Mailing Address - Country:US
Mailing Address - Phone:970-736-6015
Mailing Address - Fax:
Practice Address - Street 1:1125 LINCOLN AVENUE
Practice Address - Street 2:
Practice Address - City:STEAMBOAT SPRINGS
Practice Address - State:CO
Practice Address - Zip Code:80487-9640
Practice Address - Country:US
Practice Address - Phone:970-879-8040
Practice Address - Fax:970-879-8041
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-02
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist