Provider Demographics
NPI:1114228988
Name:CATHEY, AMY JEANNE (PT)
Entity Type:Individual
Prefix:MRS
First Name:AMY
Middle Name:JEANNE
Last Name:CATHEY
Suffix:
Gender:F
Credentials:PT
Other - Prefix:MISS
Other - First Name:AMY
Other - Middle Name:JEANNE
Other - Last Name:BLUDE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PT
Mailing Address - Street 1:1608 PATTERSON GROVE RD
Mailing Address - Street 2:
Mailing Address - City:APEX
Mailing Address - State:NC
Mailing Address - Zip Code:27502-9520
Mailing Address - Country:US
Mailing Address - Phone:619-370-0493
Mailing Address - Fax:
Practice Address - Street 1:229 FEARRINGTON POST
Practice Address - Street 2:
Practice Address - City:PITTSBORO
Practice Address - State:NC
Practice Address - Zip Code:27312-8555
Practice Address - Country:US
Practice Address - Phone:919-636-2423
Practice Address - Fax:919-516-0690
Is Sole Proprietor?:No
Enumeration Date:2010-11-10
Last Update Date:2021-09-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
RIPT02341225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist