MEDICARE: AMANDA CAWLEY PT

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
1	225100000X	Physical Therapist	11758	TN

General Provider Information

NPI Number	:	1295229284
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	AMANDA CAWLEY PT

Provider Business Mailing Address
First Line	:	6397 LEE HWY STE 300
Second Line	:
City	:	CHATTANOOGA
State	:	TN
Zip	:	37421-4915
Country	:	US
Telephone Number	:	423-238-8930
Fax Number	:	423-254-5217

Provider Business Practice Location Address
First Line	:	4626 HIGHWAY 58
Second Line	:
City	:	CHATTANOOGA
State	:	TN
Zip	:	37416-3013
Country	:	US
Telephone Number	:	235-553-7972
Fax Number	:	423-553-7973

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/21/2018
Last Update Date	:	03/02/2020

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