IndividualActive
Amy Koch, P.T.A.
NPI 1265763379 · Physical Therapy Assistant · Park City, UT
Provider details
- NPI number
- 1265763379
- Entity type
- Individual
- Primary specialty
- Physical Therapy AssistantRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- P.T.A.
- Sex
- Female
- Sole proprietor
- No
- License
- 6003459A (IN)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
1640 West Redstone Drive
Suite 200
Park City, UT 84098
Phone: (435) 776-7222
Approximate (ZIP-level) locationGet directions
Mailing address
1640 West Redstone Drive
Park City, UT 84098
Registry dates
- Enumerated
- 2010-01-29
- Last updated
- 2010-01-29
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.