Provider Demographics
NPI:1912108424
Name:AMSTUTZ, LYNN ANNETTE (LPT, CMT)
Entity Type:Individual
Prefix:MS
First Name:LYNN
Middle Name:ANNETTE
Last Name:AMSTUTZ
Suffix:
Gender:F
Credentials:LPT, CMT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5709 OLDE WADSWORTH BLVD
Mailing Address - Street 2:
Mailing Address - City:ARVADA
Mailing Address - State:CO
Mailing Address - Zip Code:80002-2534
Mailing Address - Country:US
Mailing Address - Phone:303-668-4364
Mailing Address - Fax:303-422-2201
Practice Address - Street 1:5709 OLDE WADSWORTH BLVD
Practice Address - Street 2:
Practice Address - City:ARVADA
Practice Address - State:CO
Practice Address - Zip Code:80002-2534
Practice Address - Country:US
Practice Address - Phone:303-668-4364
Practice Address - Fax:303-422-2201
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-31
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO2006261QP2000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy