Healthcare Provider Details

I. General information

NPI: 1700510864
Provider Name (Legal Business Name): AMANDA HELPPIE MSPT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/14/2022
Last Update Date: 11/06/2024
Certification Date: 11/06/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

300 MARKET DR STE 102A
LENOIR CITY TN
37771-6408
US

IV. Provider business mailing address

1200 CORPORATE DR STE 400
HOOVER AL
35242-5424
US

V. Phone/Fax

Practice location:
  • Phone: 865-988-7610
  • Fax:
Mailing address:
  • Phone: 423-238-7217
  • Fax: 423-238-3473

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number14106
License Number StateTN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: