Provider Demographics
NPI:1972529691
Name:SCHMIDTHUBER, AMY (PHYSICAL THERAPIST)
Entity type:Individual
Prefix:MRS
First Name:AMY
Middle Name:
Last Name:SCHMIDTHUBER
Suffix:
Gender:F
Credentials:PHYSICAL THERAPIST
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8449 E 163RD CT
Mailing Address - Street 2:
Mailing Address - City:BRIGHTON
Mailing Address - State:CO
Mailing Address - Zip Code:80602-7573
Mailing Address - Country:US
Mailing Address - Phone:720-299-5437
Mailing Address - Fax:303-655-8668
Practice Address - Street 1:8449 E 163RD CT
Practice Address - Street 2:
Practice Address - City:BRIGHTON
Practice Address - State:CO
Practice Address - Zip Code:80602-7573
Practice Address - Country:US
Practice Address - Phone:720-299-5437
Practice Address - Fax:303-655-8668
Is Sole Proprietor?:No
Enumeration Date:2006-07-14
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO7229225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO61425036Medicaid