Provider Demographics
NPI:1457367435
Name:MCCARTY, AMY (MSOTR/L)
Entity type:Individual
Prefix:
First Name:AMY
Middle Name:
Last Name:MCCARTY
Suffix:
Gender:F
Credentials:MSOTR/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:1335 NW BROAD ST
Mailing Address - Street 2:MURFEESBORO
Mailing Address - City:MURFREESBORO
Mailing Address - State:TN
Mailing Address - Zip Code:37129-4428
Mailing Address - Country:US
Mailing Address - Phone:913-908-5617
Mailing Address - Fax:913-728-2122
Practice Address - Street 1:1503 OHIO ST
Practice Address - Street 2:LEAVENWORTH
Practice Address - City:LEAVENWORTH
Practice Address - State:KS
Practice Address - Zip Code:66048-2932
Practice Address - Country:US
Practice Address - Phone:913-758-1149
Practice Address - Fax:913-758-1149
Is Sole Proprietor?:No
Enumeration Date:2006-07-31
Last Update Date:2007-11-14
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
KS17-02367225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist