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NPI Code Detail

MEDICARE: MISS AMANDA KAY ANDREWS PTA

MEDICARE: MISS AMANDA KAY ANDREWS 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 Assistant1509NE

General Provider Information

NPI Number : 1912454018
Entity Type Code : Individual
Provider Name (Legal Business Name) : MISS AMANDA KAY ANDREWS PTA
Provider Business Mailing Address
First Line : PO BOX 142
Second Line :
City : ADAMS
State : NE
Zip : 68301-0142
Country : US
Telephone Number : 402-293-7333
Fax Number :
Provider Business Practice Location Address
First Line : 1133 N 3RD ST
Second Line :
City : TECUMSEH
State : NE
Zip : 68450-2069
Country : US
Telephone Number : 402-335-3357
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/06/2016
Last Update Date : 09/06/2016

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Directions to “ MISS AMANDA KAY ANDREWS PTA” Practice Location

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