Individual
MS. AMANDA J. SIMPSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
4602 EASTPARK BLVD, MADISON, WI 53718-2002
(608) 440-6287
Mailing address
630 S SEGOE RD, MADISON, WI 53711-1023
(608) 228-4340
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
4295-024
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
41810600
—
WI
Enumeration date
03/16/2006
Last updated
03/17/2021
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