| Amy Churchill, PT | |
|
10300 Hennepin Town Rd, Eden Prairie, MN 55347-5100 | |
| (612) 562-8204 | |
| Not Available |
| Full Name | Amy Churchill |
|---|---|
| Gender | Female |
| Speciality | Physical Therapist |
| Location | 10300 Hennepin Town Rd, Eden Prairie, Minnesota |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1952696023 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | 8712 (Minnesota) | Primary |
| Provider Name | Active Therapy Mn |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1730835257 PECOS PAC ID: 2769878099 Enrollment ID: O20220413000866 |
| Mailing Address | Practice Location Address |
|---|---|
| Amy Churchill, PT 10300 Hennepin Town Rd, Eden Prairie, MN 55347-5100 Ph: () - | Amy Churchill, PT 10300 Hennepin Town Rd, Eden Prairie, MN 55347-5100 Ph: (612) 562-8204 |
Riley Bren, Physical Therapist Medicare: Medicare Enrolled Practice Location: 6545 Flying Cloud Dr Ste 201, Eden Prairie, MN 55344 Phone: 612-364-1901 | |
David Anderson, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 11995 Singletree Ln Ste 120, Eden Prairie, MN 55344 Phone: 952-373-5720 Fax: 763-260-7653 | |
Hannah Mae Stefani, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 6485 City West Pkwy, Eden Prairie, MN 55344 Phone: 952-933-1150 Fax: 952-930-3304 | |
Kaitlin Vaith, Physical Therapist Medicare: Medicare Enrolled Practice Location: 6545 Flying Cloud Dr Ste 201, Eden Prairie, MN 55344 Phone: 612-364-1901 | |
John A Corbo, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 775 Prairie Center Dr, 250, Eden Prairie, MN 55344 Phone: 952-944-5314 | |
Daniel Himmerick, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 775 Prairie Center Dr Ste 250, Eden Prairie, MN 55344 Phone: 952-944-5314 Fax: 952-944-0092 | |
Christopher Hart, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 775 Prairie Center Dr Ste 250, Eden Prairie, MN 55344 Phone: 952-944-5314 |