MEDICARE: AMY ELIZABETH KLEIN DPT

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		MI
2	225100000X	Physical Therapist	5501012549	MI

General Provider Information

NPI Number	:	1922508753
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	AMY ELIZABETH KLEIN DPT

Provider Business Mailing Address
First Line	:	2001 BUTTERFIELD RD STE 1600
Second Line	:
City	:	DOWNERS GROVE
State	:	IL
Zip	:	60515-1211
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	2510 S TELEGRAPH RD STE I&J
Second Line	:
City	:	BLOOMFIELD HILLS
State	:	MI
Zip	:	48302-0241
Country	:	US
Telephone Number	:	248-335-2000
Fax Number	:	248-335-2002

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

Provider Enumeration Date	:	02/19/2018
Last Update Date	:	03/14/2025

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