MEDICARE: AMY LUTZ

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225100000X	Physical Therapist	PT37212	FL

General Provider Information

NPI Number	:	1730021130
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	AMY LUTZ

Provider Business Mailing Address
First Line	:	9808 CRESCENT MOON DR
Second Line	:
City	:	RIVERVIEW
State	:	FL
Zip	:	33578-7478
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	9330 US 301 S
Second Line	:
City	:	RIVERVIEW
State	:	FL
Zip	:	33578-6300
Country	:	US
Telephone Number	:	813-417-0000
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/07/2026
Last Update Date	:	04/07/2026

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Directions to “ AMY LUTZ ” Practice Location

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