Trevino, Amy Jeanette
Trevino, Amy Jeanette is an individual health care provider with primary practice located at 9514 Gravelly Lake Dr Sw , Lakewood WA 98499-1514. She recently has 2 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Orthopedic, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist. Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist is her primary health care specialty. Trevino, Amy Jeanette can be contacted via phone (253) 983-9395.Contact Information
Primary practice address
9514 Gravelly Lake Dr Sw
Lakewood WA 98499-1514
Phone: (253) 983-9395
Fax: (253) 983-9411
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Orthopedic | 2251X0800X | 1127629 | Texas |
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist | 225100000X | PT60318927 | Washington |
Profile Details
| NPI number | 1679554935 |
|---|---|
| LBN Legal business name | Trevino, Amy Jeanette |
| Credentials | Master of Physical Therapy (MPT) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 11th, 2005 |
| Last updated | Apr 14th, 2014 - about 10 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1679554935 | NPPES |
| Washington | Other | 0319928 | WA L&I PROVIDER NUMBER |
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