Provider Demographics
NPI:1548469430
Name:MCDEVITT, AMY WALLACE (PT, DPT)
Entity type:Individual
Prefix:
First Name:AMY
Middle Name:WALLACE
Last Name:MCDEVITT
Suffix:
Gender:F
Credentials:PT, DPT
Other - Prefix:
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Mailing Address - Street 1:800 S GAYLORD ST
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80209-4632
Mailing Address - Country:US
Mailing Address - Phone:303-902-3312
Mailing Address - Fax:303-733-0343
Practice Address - Street 1:5935 S ZANG ST
Practice Address - Street 2:UNIT 9
Practice Address - City:LITTLETON
Practice Address - State:CO
Practice Address - Zip Code:80127-4647
Practice Address - Country:US
Practice Address - Phone:303-979-5511
Practice Address - Fax:303-979-6469
Is Sole Proprietor?:No
Enumeration Date:2007-07-12
Last Update Date:2007-07-12
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CO7038225100000X, 2251X0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2251X0800XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistOrthopedic
No225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist