Provider Demographics
NPI:1063223352
Name:KUTSCHBACH, AMY (MRC, CRC, CVE, CCM)
Entity type:Individual
Prefix:
First Name:AMY
Middle Name:
Last Name:KUTSCHBACH
Suffix:
Gender:F
Credentials:MRC, CRC, CVE, CCM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5403 MARTIN CV
Mailing Address - Street 2:
Mailing Address - City:BOKEELIA
Mailing Address - State:FL
Mailing Address - Zip Code:33922-3030
Mailing Address - Country:US
Mailing Address - Phone:833-287-8733
Mailing Address - Fax:833-287-8733
Practice Address - Street 1:5403 MARTIN CV
Practice Address - Street 2:
Practice Address - City:BOKEELIA
Practice Address - State:FL
Practice Address - Zip Code:33922-3030
Practice Address - Country:US
Practice Address - Phone:833-287-8733
Practice Address - Fax:833-287-8733
Is Sole Proprietor?:Yes
Enumeration Date:2025-01-15
Last Update Date:2025-01-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225C00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersRehabilitation Counselor