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Individual

AMANDA MICHELE GUTIERREZ

Active
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Individual

AMANDA MICHELE GUTIERREZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DPT

Taxonomy

Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
1189508
TX
2251X0800X
Orthopedic Physical Therapist
5501013684
MI
2251X0800X
Orthopedic Physical Therapist
Primary
5743
HI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
206938701
TX
01
236742
MEDICARE
MI
01
30696
BCBS FACILITY ID
MI
Enumeration date
09/29/2008
Last updated
07/24/2023
Update your record

If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.

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