IndividualActive
Amy Tisdale, PT
NPI 1508089749 · Orthopedic Physical Therapist · Evans, GA
Provider details
- NPI number
- 1508089749
- Entity type
- Individual
- Primary specialty
- Orthopedic Physical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- PT
- Sex
- Female
- Sole proprietor
- No
- License
- 006776 (GA)
Practice location
536 Grand Slam Dr
Evans, GA 30809-8014
Phone: (706) 854-8434
Fax: (706) 854-8435
Mailing address
3115 Bransford Rd
Augusta, GA 30909-3007
Registry dates
- Enumerated
- 2007-04-10
- Last updated
- 2025-09-11
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.