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NPI Code Detail

MEDICARE: AMY BETH WILLEY MSPT

MEDICARE: AMY BETH WILLEY MSPT
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
1225100000XPhysical TherapistPT015720PA

General Provider Information

NPI Number : 1578643359
Entity Type Code : Individual
Provider Name (Legal Business Name) : AMY BETH WILLEY MSPT
Provider Business Mailing Address
First Line : 1406 ORCHARD VIEW RD
Second Line :
City : READING
State : PA
Zip : 19606-4400
Country : US
Telephone Number : 484-919-7411
Fax Number :
Provider Business Practice Location Address
First Line : 613 CRICKLEWOOD RD
Second Line :
City : WEST CHESTER
State : PA
Zip : 19382-8507
Country : US
Telephone Number : 484-266-0387
Fax Number : 484-266-0409
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/16/2006
Last Update Date : 05/30/2019

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