Individual
AMANDA ROSE RICHTER MCCREIGHT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
600 S MAIN ST, FORT WORTH, TX 76104-2410
(817) 822-2400
Mailing address
855 E ASH LN APT 710, EULESS, TX 76039-5732
(817) 597-4577
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
2251N0400X
Neurology Physical Therapist
1328042
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1328042
LICENSE NUMBER
TX
Enumeration date
02/10/2020
Last updated
05/24/2023
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