Healthcare Provider Details

I. General information

NPI: 1467780007
Provider Name (Legal Business Name): AMY METZ WOODWARD WELLINGTON PT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/19/2009
Last Update Date: 06/30/2026
Certification Date: 06/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3870 PLEASANT HILL RD STE 1
DULUTH GA
30096-4807
US

IV. Provider business mailing address

3870 PLEASANT HILL RD STE 1
DULUTH GA
30096-4807
US

V. Phone/Fax

Practice location:
  • Phone: 404-355-0743
  • Fax: 855-228-6169
Mailing address:
  • Phone: 404-355-0743
  • Fax: 855-228-6169

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License NumberPT002065
License Number StateGA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: