Walters, Amy L

Walters, Amy L is an individual health care provider with primary practice located at 3200 Red River St Suite 101, Austin TX 78705-2660. She recently has 2 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Orthopedic. Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Orthopedic is her primary health care specialty. Walters, Amy L can be contacted via phone (512) 476-8857.

Contact Information

Primary practice address
3200 Red River St Suite 101 Austin TX 78705-2660
Phone: (512) 476-8857
Fax: (512) 482-8199
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X PT00007914 Washington
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Orthopedic 2251X0800X 1128783 Texas

Profile Details

NPI number 1295873149
LBN Legal business name Walters, Amy L
Credentials Physical Therapist (PT)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 2nd, 2007
Last updated Feb 22nd, 2008 - about 17 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1295873149 NPPES
Washington Other 2241WA BLUE SHIELD #
Washington Other US2596035 BLUE SHIELD #
Washington Other 0039585 BLUE SHIELD #
Washington MEDICAID 8342685 BLUE SHIELD #

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