Individual provider · Type 1 NPI

Amy Jo Porter, PTA

Specialist · St. Paul, MN

NPI number 1922548809 Active

Practice location

435 Phalen Blvd
St. Paul, MN 55130-5302

Call (651) 254-3200 Map

Mailing address

6614 Lacasse Dr
Lino Lakes, MN 55038-7703

Specialties and licenses

TaxonomyCodeLicense
Specialist Primary 174400000XA1039 (MN)

Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

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About NPI 1922548809

Amy Jo Porter, PTA's National Provider Identifier is 1922548809, issued on Feb 27, 2017. The primary taxonomy on file is Specialist (174400000X), and the practice location is in St. Paul, MN. The record was last updated on Feb 27, 2017.