Provider Demographics
NPI:1427069780
Name:LUI, AMY E (OTR/L)
Entity type:Individual
Prefix:MRS
First Name:AMY
Middle Name:E
Last Name:LUI
Suffix:
Gender:F
Credentials:OTR/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:100 KIANA COURT STE A
Mailing Address - Street 2:
Mailing Address - City:PADUCAH
Mailing Address - State:KY
Mailing Address - Zip Code:42001-6787
Mailing Address - Country:US
Mailing Address - Phone:270-443-0681
Mailing Address - Fax:270-442-7948
Practice Address - Street 1:100 KIANA COURT STE A
Practice Address - Street 2:
Practice Address - City:PADUCAH
Practice Address - State:KY
Practice Address - Zip Code:42001
Practice Address - Country:US
Practice Address - Phone:270-443-0681
Practice Address - Fax:270-442-7948
Is Sole Proprietor?:No
Enumeration Date:2006-08-11
Last Update Date:2019-11-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAOC005982L225XH1200X
225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist
No225XH1200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistHand
Provider Identifiers
StateIdentifier IDID TypeIssuer
KY248420OtherKENTUCKY STATE LICENSE
PA50082592OtherCAPITAL BLUECROSS
PA121204FCQMedicare PIN