Healthcare Provider Details

I. General information

NPI: 1346546710
Provider Name (Legal Business Name): AMY REED NEUZIL N.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 02/02/2011
Last Update Date: 03/01/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

13860 N US HIGHWAY 183 STE B
AUSTIN TX
78750-1203
US

IV. Provider business mailing address

13860 N US HIGHWAY 183 STE B
AUSTIN TX
78750-1203
US

V. Phone/Fax

Practice location:
  • Phone: 512-219-8600
  • Fax:
Mailing address:
  • Phone: 512-219-8600
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code175F00000X
TaxonomyNaturopath
License Number03-781
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: