MEDICARE: DR. AMANDA KATE MCCREREY

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	PT-6423	HI

General Provider Information

NPI Number	:	1295666816
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. AMANDA KATE MCCREREY

Provider Business Mailing Address
First Line	:	44-666 KANEOHE BAY DR # 1
Second Line	:
City	:	KANEOHE
State	:	HI
Zip	:	96744-2526
Country	:	US
Telephone Number	:	210-420-5588
Fax Number	:

Provider Business Practice Location Address
First Line	:	44-666 KANEOHE BAY DR # 1
Second Line	:
City	:	KANEOHE
State	:	HI
Zip	:	96744-2526
Country	:	US
Telephone Number	:	210-420-5588
Fax Number	:

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

Provider Enumeration Date	:	05/25/2026
Last Update Date	:	05/25/2026

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