Provider Demographics
NPI:1548529159
Name:STRUNK, AMY MLYNN
Entity type:Individual
Prefix:MRS
First Name:AMY
Middle Name:MLYNN
Last Name:STRUNK
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 131
Mailing Address - Street 2:
Mailing Address - City:MARSHES SIDING
Mailing Address - State:KY
Mailing Address - Zip Code:42631-0131
Mailing Address - Country:US
Mailing Address - Phone:606-376-2775
Mailing Address - Fax:606-376-2775
Practice Address - Street 1:10 TOBBY LANE
Practice Address - Street 2:
Practice Address - City:WHITLEY CITY
Practice Address - State:KY
Practice Address - Zip Code:42653
Practice Address - Country:US
Practice Address - Phone:606-376-2775
Practice Address - Fax:606-376-2775
Is Sole Proprietor?:Yes
Enumeration Date:2012-05-16
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY222Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes222Q00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersDevelopmental Therapist