MEDICARE: DR. AMANDA KATHERINE DUNCAN

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	1262757	TX

General Provider Information

NPI Number	:	1821447574
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. AMANDA KATHERINE DUNCAN

Provider Business Mailing Address
First Line	:	10532 TACARA DR APT 9105
Second Line	:
City	:	FORT WORTH
State	:	TX
Zip	:	76244-2476
Country	:	US
Telephone Number	:	281-413-7582
Fax Number	:

Provider Business Practice Location Address
First Line	:	10532 TACARA DR APT 9105
Second Line	:
City	:	FORT WORTH
State	:	TX
Zip	:	76244-2476
Country	:	US
Telephone Number	:	281-413-7582
Fax Number	:

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

Provider Enumeration Date	:	06/03/2016
Last Update Date	:	08/09/2024

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Directions to “ DR. AMANDA KATHERINE DUNCAN ” Practice Location

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