Juditheve Lamosao Amby, PTA
Individual provider Active NPI Physical Therapy Assistant · Mill Creek, WA
NPI 1629307459 · NPPES record last updated Dec 7, 2009
Key facts
- NPI
- 1629307459
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapy Assistant 225200000X
- License
- P160028626 (WA)
- Practice address
- 14430 N Creek Dr Apt 826
Mill Creek, WA 98012-5342 - Phone
- (425) 381-3865
- NPI assigned
- Dec 7, 2009
- 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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| P160028626 | WA | MD | Physical Therapy Assistant |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Assistant | 225200000X | P160028626 | WA | Yes |
Addresses
Primary practice location
14430 N Creek Dr Apt 826
Mill Creek, WA 98012-5342
Mailing address
14430 N Creek Dr Apt 826
Mill Creek, WA 98012-5342
Other names
- Judy Lamosao Amby
Other providers in Mill Creek, WA
- Philip M. Alex
- Alexander Enterprises, LLC
- Michelle R Almanza
- Adrianne Michelle Altman
- Amazing Life Chiropractic & Wellness PLLC
- Mark T Anderson
- Claudia J. Andrews
- Arabella Lynn Andros
- Emily M Anguiano
- Arash Alex Aflatooni, DDS, PS
All providers in Mill Creek, WA · Physical Therapy Assistant in Washington
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 7, 2009. 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.