Provider Demographics
NPI:1669778924
Name:WESNEY, AMY BETH (CTRS)
Entity type:Individual
Prefix:MS
First Name:AMY
Middle Name:BETH
Last Name:WESNEY
Suffix:
Gender:F
Credentials:CTRS
Other - Prefix:
Other - First Name:AMY
Other - Middle Name:
Other - Last Name:HOCKEN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:6550 STONY CREEK RD APT 2
Mailing Address - Street 2:
Mailing Address - City:YPSILANTI
Mailing Address - State:MI
Mailing Address - Zip Code:48197-6649
Mailing Address - Country:US
Mailing Address - Phone:989-660-9034
Mailing Address - Fax:
Practice Address - Street 1:5570 WHITTAKER RD
Practice Address - Street 2:
Practice Address - City:YPSILANTI
Practice Address - State:MI
Practice Address - Zip Code:48197-9752
Practice Address - Country:US
Practice Address - Phone:800-968-6644
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-02-04
Last Update Date:2022-12-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225800000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersRecreation Therapist