IndividualActive
Amy Carroll, PTA
NPI 1306126115 · Physical Therapy Assistant · Lake Geneva, WI
Provider details
- NPI number
- 1306126115
- Entity type
- Individual
- Primary specialty
- Physical Therapy AssistantRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- PTA
- Sex
- Female
- Sole proprietor
- No
- License
- 1820-19 (WI)
Practice location
N2950 State Road 67
Lake Geneva, WI 53147-2655
Phone: (262) 245-0535
Mailing address
4401 N Main St
Rockford, IL 61103-1277
Registry dates
- Enumerated
- 2011-08-24
- Last updated
- 2012-08-29
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.