Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Amy Jo Haverkorn, PTA

Individual provider Physical Therapy Assistant · NPI 1164706511

Amy Jo Haverkorn, PTA is a Physical Therapy Assistant in Green Bay, Wisconsin. Licensed in Wisconsin. Registered with an NPI since 2011.

Licensed in
WI
In the registry since
2011
What do these letters mean?
PTA — Physical Therapist Assistant
Delivers treatment under a physical therapist's direction.

See every abbreviation used in this directory →

Practice location Address checks out

2763 Manitowoc Rd Ste B
Green Bay, WI 54311-6633
Phone: (920) 468-8288
Fax: (920) 468-9887
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapy Assistant (primary) Taxonomy 225200000X · Licence 223-19 (WI)

Record details

NPI number1164706511
Entity typeIndividual (Type 1)
GenderFemale
Credentials PTA
Sole proprietorNo
NPI enumeratedOctober 4, 2011
Last updated in NPPESOctober 4, 2011

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