IndividualActive
Amy Porter, PTA
NPI 1922548809 · Specialist · Saint Paul, MN
Provider details
- NPI number
- 1922548809
- Entity type
- Individual
- Primary specialty
- SpecialistOther Service Providers
- Credential
- PTA
- Sex
- Female
- Sole proprietor
- No
- License
- A1039 (MN)
Mailing address
6614 Lacasse Dr
Lino Lakes, MN 55038-7703
Registry dates
- Enumerated
- 2017-02-27
- Last updated
- 2017-02-27
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.