IndividualActive
Amy Green, DPT
NPI 1306263793 · Physical Therapist · Vicksburg, MS
Provider details
- NPI number
- 1306263793
- Entity type
- Individual
- Primary specialty
- Physical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- DPT
- Sex
- Female
- Sole proprietor
- No
- License
- PT4965 (MS)
Mailing address
Po Box 822394
Vicksburg, MS 39182-2394
Registry dates
- Enumerated
- 2014-03-24
- Last updated
- 2014-03-24
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.