| Doctor Name: | AMANDA LYNN NUYT |
| NPI Number: | 1538349113 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | MPT |
| License Number: | 2008004274 |
| Business Practice Address: | 1428 W Meyer Rd Wentzville, MO - 633853499 |
| Business Phone Number: | 6368873660 |
| Business Fax Number: | 6368873661 |
| Mailing Address: | 607 Dewey Ave Nw, Ste 300 GRAND RAPIDS |
| State: | MI |
| Postal Code: | 495047335 |
| Phone Number: | 6163565000 |
| Fax Number: | 6163565001 |
| NPI Enumeration Date: | 11/12/2007 |
| NPI Last Update Date: | 06/11/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 225100000X |
| License Number: | 2008004274 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MO |
| Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Taxonomy Classification: | Physical Therapist |
| Taxonomy Specialization: | |
| Taxonomy Definition: | (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT |