Provider Demographics
NPI:1437586724
Name:LOVITT, AMYE B (DPT)
Entity Type:Individual
Prefix:MRS
First Name:AMYE
Middle Name:B
Last Name:LOVITT
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:MISS
Other - First Name:AMYE
Other - Middle Name:L
Other - Last Name:BLUBAUGH
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DPT
Mailing Address - Street 1:PO BOX 8419
Mailing Address - Street 2:
Mailing Address - City:BILOXI
Mailing Address - State:MS
Mailing Address - Zip Code:39535-8087
Mailing Address - Country:US
Mailing Address - Phone:228-388-5714
Mailing Address - Fax:228-388-0017
Practice Address - Street 1:100 EASTBROOK DR
Practice Address - Street 2:
Practice Address - City:PETAL
Practice Address - State:MS
Practice Address - Zip Code:39465-6009
Practice Address - Country:US
Practice Address - Phone:601-544-0500
Practice Address - Fax:601-544-0505
Is Sole Proprietor?:Yes
Enumeration Date:2013-10-01
Last Update Date:2013-10-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MSPT5133225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist