Individual
AMANDA MARIE SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
15301 W 87TH ST STE 200, LENEXA, KS 66219-1479
(913) 492-4888
Mailing address
15301 W 87TH ST STE 200, LENEXA, KS 66219-1479
(913) 492-4888
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
14-02820
KS
Other
Enumeration date
06/01/2015
Last updated
06/01/2015
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