Individual
AMY SLABAUGH
Active
Individual
AMY SLABAUGH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, DPT, LMT
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
MA 60389508
WA
225100000X
Physical Therapist
Primary
PTP-PT-LIC-9310
MT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1235562893
MEDICARE
MT
Enumeration date
08/18/2013
Last updated
05/29/2019
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