Provider Demographics
NPI:1922370956
Name:KLINE, AMY (MSPT)
Entity Type:Individual
Prefix:
First Name:AMY
Middle Name:
Last Name:KLINE
Suffix:
Gender:F
Credentials:MSPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2244 OCHRE ST
Mailing Address - Street 2:
Mailing Address - City:READING
Mailing Address - State:PA
Mailing Address - Zip Code:19606-1910
Mailing Address - Country:US
Mailing Address - Phone:610-370-5778
Mailing Address - Fax:
Practice Address - Street 1:955 BEN FRANKLIN HWY W
Practice Address - Street 2:SUITE 7
Practice Address - City:DOUGLASSVILLE
Practice Address - State:PA
Practice Address - Zip Code:19518-1048
Practice Address - Country:US
Practice Address - Phone:610-953-3232
Practice Address - Fax:610-953-3230
Is Sole Proprietor?:No
Enumeration Date:2012-02-07
Last Update Date:2012-02-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPT013579L225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist