Provider Demographics
NPI:1194871640
Name:ESCHETTE, AMY LYNN (PT)
Entity type:Individual
Prefix:MRS
First Name:AMY
Middle Name:LYNN
Last Name:ESCHETTE
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:23222 KINGSLAND BLVD STE H
Mailing Address - Street 2:
Mailing Address - City:KATY
Mailing Address - State:TX
Mailing Address - Zip Code:77494-3033
Mailing Address - Country:US
Mailing Address - Phone:281-347-5050
Mailing Address - Fax:281-347-5055
Practice Address - Street 1:23222 KINGSLAND BLVD STE H
Practice Address - Street 2:
Practice Address - City:KATY
Practice Address - State:TX
Practice Address - Zip Code:77494-3033
Practice Address - Country:US
Practice Address - Phone:281-347-5050
Practice Address - Fax:281-347-5055
Is Sole Proprietor?:No
Enumeration Date:2007-01-26
Last Update Date:2010-11-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA06958225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
LA06958OtherPT LICENSE #
TX1178472OtherPT LICENSE #