Individual
AMANDA SUSAN ARNOLD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT, PTA
Contact information
Practice address
2508 E L AVE, LA GRANDE, OR 97850-3495
(541) 910-6322
Mailing address
2508 E L AVE, LA GRANDE, OR 97850-3814
(541) 910-6322
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
8372
OR
225200000X
Physical Therapy Assistant
P1 60570192
WA
225200000X
Physical Therapy Assistant
PTA-4190
ID
225700000X
Massage Therapist
Primary
17093
OR
225700000X
Massage Therapist
MA 60625900
WA
Other
Enumeration date
07/20/2006
Last updated
01/05/2022
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