# AMANDA R BYRD

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1558541490
- **Gender:** F
- **Credential:** PT

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 225100000X | Physical Therapist | J10002292 | DE | Yes |

## Other

- **Enumeration date:** 11/08/2007
- **Last updated:** 04/26/2013

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 11801072 | CAQH | — |
| 05 | — | 1558541490 | — | DE |
| 01 | — | 3510144000 | AMERIHEALTH | — |