Provider Demographics
NPI:1235936865
Name:SPIETH, AMY MEAD
Entity type:Individual
Prefix:MRS
First Name:AMY
Middle Name:MEAD
Last Name:SPIETH
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:31100 HILLIARD BLVD
Mailing Address - Street 2:
Mailing Address - City:WESTLAKE
Mailing Address - State:OH
Mailing Address - Zip Code:44145-3730
Mailing Address - Country:US
Mailing Address - Phone:440-477-7503
Mailing Address - Fax:
Practice Address - Street 1:31100 HILLIARD BLVD
Practice Address - Street 2:
Practice Address - City:WESTLAKE
Practice Address - State:OH
Practice Address - Zip Code:44145-3730
Practice Address - Country:US
Practice Address - Phone:440-477-7503
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-03-01
Last Update Date:2025-03-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHRT768963172A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes172A00000XOther Service ProvidersDriver