Doctor Name: | AMY R BUSH |
NPI Number: | 1134405509 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | |
Business Practice Address: | 15435 Main St. Ne #101 Duvall, WA - 98019 |
Business Phone Number: | 4257880505 |
Business Fax Number: | 4257883340 |
Mailing Address: | 17618 140th Ave Ne, WOODINVILLE |
State: | WA |
Postal Code: | 98072 |
Phone Number: | 4254029772 |
Fax Number: | 4254029443 |
NPI Enumeration Date: | 10/28/2011 |
NPI Last Update Date: | 10/31/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 2251X0800X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Physical Therapist |
Taxonomy Specialization: | Orthopedic |
Taxonomy Definition: |