Amy Lizette Porter

Developmental Therapist · Decatur, IL

Individual Active NPI

NPI number 1861057739

Practice location

1070 W Olive St
Decatur, IL 62526-3761
Phone
(217) 454-2096

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NPI record

NPI
1861057739
Entity type
Individual (Type 1)
Enumeration date
May 7, 2019
Last updated
May 7, 2019
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Developmental Therapist Primary 222Q00000X P63601296738 IL

About Amy Porter

Amy Lizette Porter is a healthcare provider registered in the NPI registry with the primary taxonomy Developmental Therapist (code 222Q00000X). The practice location is 1070 W Olive St, Decatur, IL 62526-3761. The NPI number 1861057739 was assigned on May 7, 2019 and the record was last updated on May 7, 2019.

Amy Porter lists a license in the registry: #P63601296738 (IL) for Developmental Therapist. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Amy Lizette Porter?

The NPI number is 1861057739.

What is the phone number of Amy Porter?

The phone number listed for the practice location is (217) 454-2096.

Where is Amy Porter located?

1070 W Olive St, Decatur, IL 62526-3761.

What is the taxonomy code for Amy Porter?

The primary taxonomy code is 222Q00000X – Developmental Therapist.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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