Amelia A Betz
Individual provider Active NPI Developmental Therapist · Macomb, IL
NPI 1588032973 · NPPES record last updated Sep 2, 2015
Key facts
- NPI
- 1588032973
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Developmental Therapist 222Q00000X
- Practice address
- 627 E Calhoun St
Macomb, IL 61455-1603 - Phone
- (309) 255-8674
- NPI assigned
- Sep 2, 2015
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Developmental Therapist | 222Q00000X | Yes |
Addresses
Primary practice location
627 E Calhoun St
Macomb, IL 61455-1603
Mailing address
627 E Calhoun St
Macomb, IL 61455-1603
Phone (309) 255-8674
Other providers in Macomb, IL
- Michael Paul Bednarz
- Lyndsay J Bedwell
- Madelyn Belville
- Hannah Lauren Bengtson
- Tim A Bengtson
- Beu Health Center
- Beu Health Center Pharmacy
- Cora Bezold
- Timothy Mark Biagini
- Madeline Bickhaus
All providers in Macomb, IL · Developmental Therapist in Illinois
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 2, 2015. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.