Provider Demographics
NPI:1083913685
Name:BELYEA, AMIE J (DPT)
Entity Type:Individual
Prefix:
First Name:AMIE
Middle Name:J
Last Name:BELYEA
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:
Other - First Name:AMIE
Other - Middle Name:J
Other - Last Name:MCPARTLAND
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DPT
Mailing Address - Street 1:158 MCSHEFFERY RD
Mailing Address - Street 2:
Mailing Address - City:HOULTON
Mailing Address - State:ME
Mailing Address - Zip Code:04730-3707
Mailing Address - Country:US
Mailing Address - Phone:207-694-4243
Mailing Address - Fax:
Practice Address - Street 1:98 BANGOR ST STE A
Practice Address - Street 2:
Practice Address - City:HOULTON
Practice Address - State:ME
Practice Address - Zip Code:04730
Practice Address - Country:US
Practice Address - Phone:207-521-0200
Practice Address - Fax:207-521-0210
Is Sole Proprietor?:No
Enumeration Date:2011-03-22
Last Update Date:2018-08-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MEPT3702225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist