Provider Demographics
NPI:1891965679
Name:SPIVEY, AMY L (DPT)
Entity Type:Individual
Prefix:
First Name:AMY
Middle Name:L
Last Name:SPIVEY
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:
Other - First Name:AMY
Other - Middle Name:MICHELLE
Other - Last Name:LLEWELLYN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DPT
Mailing Address - Street 1:540 HUGHES RD
Mailing Address - Street 2:SUITE 8
Mailing Address - City:MADISON
Mailing Address - State:AL
Mailing Address - Zip Code:35758-8999
Mailing Address - Country:US
Mailing Address - Phone:256-461-9654
Mailing Address - Fax:256-461-9728
Practice Address - Street 1:540 HUGHES RD
Practice Address - Street 2:SUITE 8
Practice Address - City:MADISON
Practice Address - State:AL
Practice Address - Zip Code:35758-8999
Practice Address - Country:US
Practice Address - Phone:256-461-9654
Practice Address - Fax:256-461-9728
Is Sole Proprietor?:No
Enumeration Date:2008-03-07
Last Update Date:2012-08-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ALPTH5261225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL051547728OtherBCBS
AL051547729OtherBCBS
AL051547728OtherBCBS