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NPI Code Detail

MEDICARE: AMANDA A HILMER PTA

MEDICARE: AMANDA A HILMER PTA
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
1225200000XPhysical Therapy Assistant1847NE

General Provider Information

NPI Number : 1396379251
Entity Type Code : Individual
Provider Name (Legal Business Name) : AMANDA A HILMER PTA
Provider Business Mailing Address
First Line : 24660 - 265 AVENUE
Second Line :
City : COLUMBUS
State : NE
Zip : 68601
Country : US
Telephone Number : 402-270-6941
Fax Number :
Provider Business Practice Location Address
First Line : 4715 38TH ST
Second Line :
City : COLUMBUS
State : NE
Zip : 68601-1622
Country : US
Telephone Number : 402-942-9260
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/28/2020
Last Update Date : 02/28/2020

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Directions to “ AMANDA A HILMER PTA” Practice Location

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