MEDICARE: AMANDA P HANFF DPT

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	6444	SC

General Provider Information

NPI Number	:	1891073235
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	AMANDA P HANFF DPT

Provider Business Mailing Address
First Line	:	2001 BUTTERFIELD RD STE 1600
Second Line	:
City	:	DOWNERS GROVE
State	:	IL
Zip	:	60515-1211
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1051 STAMP CREEK RD
Second Line	:
City	:	SALEM
State	:	SC
Zip	:	29676-4516
Country	:	US
Telephone Number	:	864-944-5146
Fax Number	:	864-944-5147

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

Provider Enumeration Date	:	08/03/2011
Last Update Date	:	06/24/2025

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