MEDICARE: AMY METZ WOODWARD WELLINGTON PT

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	PT002065	GA

General Provider Information

NPI Number	:	1467780007
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	AMY METZ WOODWARD WELLINGTON PT

Provider Business Mailing Address
First Line	:	3870 PLEASANT HILL RD STE 1
Second Line	:
City	:	DULUTH
State	:	GA
Zip	:	30096-4807
Country	:	US
Telephone Number	:	404-355-0743
Fax Number	:	855-228-6169

Provider Business Practice Location Address
First Line	:	3870 PLEASANT HILL RD STE 1
Second Line	:
City	:	DULUTH
State	:	GA
Zip	:	30096-4807
Country	:	US
Telephone Number	:	404-355-0743
Fax Number	:	855-228-6169

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

Provider Enumeration Date	:	11/19/2009
Last Update Date	:	06/30/2026

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