Provider Demographics
NPI:1255544219
Name:CULPERT, AMY KATHLEEN (OTR)
Entity type:Individual
Prefix:MS
First Name:AMY
Middle Name:KATHLEEN
Last Name:CULPERT
Suffix:
Gender:F
Credentials:OTR
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:251 S GREEN VALLEY PKWY
Mailing Address - Street 2:#1511
Mailing Address - City:HENDERSON
Mailing Address - State:NV
Mailing Address - Zip Code:89012-2372
Mailing Address - Country:US
Mailing Address - Phone:859-536-0751
Mailing Address - Fax:
Practice Address - Street 1:2625 E SAINT LOUIS AVE
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89104-4200
Practice Address - Country:US
Practice Address - Phone:702-799-6903
Practice Address - Fax:702-799-1502
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-07
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV0870225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist