Provider Demographics
NPI:1124445598
Name:ALLNUTT, AMY
Entity type:Individual
Prefix:
First Name:AMY
Middle Name:
Last Name:ALLNUTT
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:103 THAXTON ST
Mailing Address - Street 2:
Mailing Address - City:GAITHERSBURG
Mailing Address - State:MD
Mailing Address - Zip Code:20878-5718
Mailing Address - Country:US
Mailing Address - Phone:301-987-9129
Mailing Address - Fax:
Practice Address - Street 1:2300 WILSON BLVD
Practice Address - Street 2:SUITE 230
Practice Address - City:ARLINGTON
Practice Address - State:VA
Practice Address - Zip Code:22201-5424
Practice Address - Country:US
Practice Address - Phone:703-807-0037
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-03-24
Last Update Date:2014-03-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes224Y00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersClinical Exercise Physiologist