Healthcare Provider Details

I. General information

NPI: 1104232461
Provider Name (Legal Business Name): AMY BOSHOVEN DPT
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: DR. AMY HOWARD

II. Dates (important events)

Enumeration Date: 07/08/2014
Last Update Date: 03/10/2020
Certification Date: 03/10/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

906 SE EVERETT MALL WAY STE 200
EVERETT WA
98208-3743
US

IV. Provider business mailing address

3335 CREMELLO CT
CASTLE ROCK CO
80104-7813
US

V. Phone/Fax

Practice location:
  • Phone: 425-353-5656
  • Fax:
Mailing address:
  • Phone: 303-437-5299
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2251X0800X
TaxonomyOrthopedic Physical Therapist
License Number0012726
License Number StateCO
# 2
Primary TaxonomyY
Taxonomy Code2251P0200X
TaxonomyPediatric Physical Therapist
License NumberPT60900602
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: