Provider Demographics
NPI:1134305642
Name:SCHWARTEN, AMI J (MPT)
Entity Type:Individual
Prefix:
First Name:AMI
Middle Name:J
Last Name:SCHWARTEN
Suffix:
Gender:F
Credentials:MPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1301 PARTRIDGE AVE
Mailing Address - Street 2:
Mailing Address - City:UNIVERSITY CITY
Mailing Address - State:MO
Mailing Address - Zip Code:63130-1944
Mailing Address - Country:US
Mailing Address - Phone:314-863-1670
Mailing Address - Fax:
Practice Address - Street 1:1301 PARTRIDGE AVE
Practice Address - Street 2:
Practice Address - City:UNIVERSITY CITY
Practice Address - State:MO
Practice Address - Zip Code:63130-1944
Practice Address - Country:US
Practice Address - Phone:314-863-1670
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-01-14
Last Update Date:2008-01-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2002030184225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist