Provider Demographics
NPI:1902159536
Name:SPATZ, AMY M (DPT)
Entity Type:Individual
Prefix:
First Name:AMY
Middle Name:M
Last Name:SPATZ
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:75 EVELYN DR
Mailing Address - Street 2:
Mailing Address - City:MILLERSBURG
Mailing Address - State:PA
Mailing Address - Zip Code:17061-1258
Mailing Address - Country:US
Mailing Address - Phone:717-692-4708
Mailing Address - Fax:717-692-4715
Practice Address - Street 1:2813 INDUSTRIAL PARK RD
Practice Address - Street 2:SUITE 3
Practice Address - City:MIFFLINTOWN
Practice Address - State:PA
Practice Address - Zip Code:17059-9078
Practice Address - Country:US
Practice Address - Phone:717-436-6042
Practice Address - Fax:717-436-6264
Is Sole Proprietor?:No
Enumeration Date:2012-10-19
Last Update Date:2017-07-06
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
PAPT022035225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist