Provider Demographics
NPI:1598097925
Name:DOZIER, AMY KATHRYN (LMBT #9694)
Entity Type:Individual
Prefix:MS
First Name:AMY
Middle Name:KATHRYN
Last Name:DOZIER
Suffix:
Gender:F
Credentials:LMBT #9694
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:4214 SETTLEMENT DR
Mailing Address - Street 2:
Mailing Address - City:DURHAM
Mailing Address - State:NC
Mailing Address - Zip Code:27713-9156
Mailing Address - Country:US
Mailing Address - Phone:919-395-7129
Mailing Address - Fax:
Practice Address - Street 1:1125 W NC HIGHWAY 54
Practice Address - Street 2:
Practice Address - City:DURHAM
Practice Address - State:NC
Practice Address - Zip Code:27707-5715
Practice Address - Country:US
Practice Address - Phone:919-794-4455
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-02-10
Last Update Date:2010-02-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC9694225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist