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NPI Code Detail

MEDICARE: AMANDA DAWN REED PTA

MEDICARE: AMANDA DAWN REED PTA
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225200000XPhysical Therapy Assistant1045SC

General Provider Information

NPI Number : 1255465415
Entity Type Code : Individual
Provider Name (Legal Business Name) : AMANDA DAWN REED PTA
Provider Business Mailing Address
First Line : 2480 HIGHWAY 521 S
Second Line :
City : SUMTER
State : SC
Zip : 29153-9793
Country : US
Telephone Number : 803-481-2732
Fax Number : 803-469-4032
Provider Business Practice Location Address
First Line : 2825 CARTER RD
Second Line :
City : SUMTER
State : SC
Zip : 29150-1712
Country : US
Telephone Number : 803-469-4032
Fax Number : 803-469-4062
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/16/2007
Last Update Date : 07/08/2007

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