Healthcare Provider Details

I. General information

NPI: 1801294343
Provider Name (Legal Business Name): AMANDA HOXIE
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/16/2014
Last Update Date: 06/18/2026
Certification Date: 06/18/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1132 ROBERT EDGAR CT
ELDRIDGE IA
52748-9588
US

IV. Provider business mailing address

1132 ROBERT EDGAR CT
ELDRIDGE IA
52748-9588
US

V. Phone/Fax

Practice location:
  • Phone: 563-241-5252
  • Fax:
Mailing address:
  • Phone: 563-940-3222
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number001974
License Number StateIA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: