Individual
AMANDA HUISENTRUIT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
777 NORTH ST, PITTSFIELD, MA 01201-4147
(413) 395-7580
Mailing address
15 FAIRFIELD ST, PITTSFIELD, MA 01201-6726
(978) 989-5157
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA8422
MA
Other
Enumeration date
12/02/2021
Last updated
03/13/2026
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