Healthcare Provider Details

I. General information

NPI: 1861610198
Provider Name (Legal Business Name): AMY LYNN SCHOLZ PTA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/23/2007
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1425 YORKLAND RD
COLUMBUS OH
43232-1686
US

IV. Provider business mailing address

6536 ROSEDALE AVE
REYNOLDSBURG OH
43068-1031
US

V. Phone/Fax

Practice location:
  • Phone: 614-751-2525
  • Fax:
Mailing address:
  • Phone: 614-832-7274
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225200000X
TaxonomyPhysical Therapy Assistant
License NumberPTA-5011
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: