Individual
AMANDA HOLLENBACH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, RD, LDN, LAT,ATC
Contact information
Practice address
321 AUTUMN RIVER RUN, PHILADELPHIA, PA 19128-4355
(267) 908-4825
Mailing address
701 E CATHEDRAL RD STE 45-1483, PHILADELPHIA, PA 19128-2128
(267) 908-4825
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
DN004044
PA
2255A2300X
Athletic Trainer
RT003678
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
012689
NY LICENSE NUMBER
NY
01
—
164010096
IL LICENSE NUMBER
IL
01
—
2643
AR LICENSE NUMBER
AR
01
—
DN-0011217
DE LICENSE NUMBER
DE
01
—
DN004044
PA LICENSE NUMBER
PA
01
—
DT91014
TX LICENSE NUMBER
TX
01
—
DX7322
MD LICENSE NUMBER
MD
01
—
RT003678
PA LICENSE NUMBER
PA
Enumeration date
01/29/2013
Last updated
07/16/2025
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us