Provider Demographics
NPI:1306167861
Name:REITZ, AMY (PT)
Entity type:Individual
Prefix:
First Name:AMY
Middle Name:
Last Name:REITZ
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:321 HIGH SCHOOL RD NE
Mailing Address - Street 2:STE D3 #729
Mailing Address - City:BAINBRIDGE ISLAND
Mailing Address - State:WA
Mailing Address - Zip Code:98110-2647
Mailing Address - Country:US
Mailing Address - Phone:206-774-0654
Mailing Address - Fax:844-753-6336
Practice Address - Street 1:123 BJUNE DR SE STE 111
Practice Address - Street 2:
Practice Address - City:BAINBRIDGE ISLAND
Practice Address - State:WA
Practice Address - Zip Code:98110-2459
Practice Address - Country:US
Practice Address - Phone:206-774-0654
Practice Address - Fax:206-855-8465
Is Sole Proprietor?:No
Enumeration Date:2010-06-18
Last Update Date:2016-08-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAPT36542225100000X
WAPT60501307225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist