Individual
MS. AMANDA NICHOLE MCKIERNAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
600 E SEVENTH STREET, LOWRY CITY, MO 64763
(417) 644-2248
Mailing address
204 SEMINARY STREET, WARSAW, MO 65355
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
201402452
MO
Other
Enumeration date
09/12/2014
Last updated
09/12/2014
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