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NPI Code Detail

MEDICARE: AMANDA BERNER DPT

MEDICARE: AMANDA BERNER 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
1225100000XPhysical Therapist

General Provider Information

NPI Number : 1962982488
Entity Type Code : Individual
Provider Name (Legal Business Name) : AMANDA BERNER DPT
Provider Business Mailing Address
First Line : 1524 W ROMANY CT
Second Line :
City : OLATHE
State : KS
Zip : 66061-3929
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 12100 WORNALL RD
Second Line :
City : KANSAS CITY
State : MO
Zip : 64145-1764
Country : US
Telephone Number : 816-941-0525
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/14/2018
Last Update Date : 08/14/2018

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