MEDICARE: AMANDA B BEST PERMANENT COLOR TECH

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	2255A2300X	Athletic Trainer	95	NE
2	246ZA2600X	Medical Art Specialist/Technologist	95	NE

General Provider Information

NPI Number	:	1194541128
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	AMANDA B BEST PERMANENT COLOR TECH

Provider Business Mailing Address
First Line	:	416 BOX BUTTE AVE
Second Line	:
City	:	ALLIANCE
State	:	NE
Zip	:	69301-3344
Country	:	US
Telephone Number	:	352-251-8502
Fax Number	:

Provider Business Practice Location Address
First Line	:	416 BOX BUTTE AVE
Second Line	:
City	:	ALLIANCE
State	:	NE
Zip	:	69301-3344
Country	:	US
Telephone Number	:	352-251-8502
Fax Number	:

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

Provider Enumeration Date	:	11/25/2024
Last Update Date	:	12/02/2025

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