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Individual
AMANDA L BACKES
Active
Individual
AMANDA L BACKES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT/LAT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
004070
IA
225100000X
Physical Therapist
Primary
2008014942
MO
2255A2300X
Athletic Trainer
2008014941
MO
Other
Enumeration date
06/11/2007
Last updated
05/20/2014
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