Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Amy Wallenburg, PT, MPT

Individual provider Pediatric Physical Therapist · NPI 1063728509

Amy Wallenburg, PT, MPT is a Pediatric Physical Therapist in Zeeland, Michigan. Licensed in Michigan. Registered with an NPI since 2010.

Licensed in
MI
In the registry since
2010
Specialties on file
2
What do these letters mean?
PT — Physical Therapist
A licensed therapist who treats movement, pain and injury.
MPT — Master of Physical Therapy
The master's-level physical therapy degree awarded before the DPT became standard.

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Practice location Address checks out

26 N State St Ste 400
Zeeland, MI 49464-1281
Phone: (616) 772-5643
Fax: (616) 772-5819
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatric Physical Therapist (primary) Taxonomy 2251P0200X · Licence 5501012840 (MI)
Physical Therapist Taxonomy 225100000X · Licence 5501012840 (MI)

Record details

NPI number1063728509
Entity typeIndividual (Type 1)
GenderFemale
Credentials PT , MPT
Sole proprietorNo
NPI enumeratedAugust 22, 2010
Last updated in NPPESSeptember 5, 2010