Individual
AMANDA HARTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, DPT, OCS, COMT
Contact information
Practice address
19931 W KELLOGG DR UNIT A, GODDARD, KS 67052-8864
(316) 550-6132
(316) 640-6215
Mailing address
19931 W KELLOGG DR UNIT A, GODDARD, KS 67052-8864
(316) 550-6132
(316) 640-6215
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
11-04290
KS
225100000X
Physical Therapist
2011023195
MO
225100000X
Physical Therapist
40223
CA
225100000X
Physical Therapist
60079
OR
Other
Enumeration date
12/21/2013
Last updated
11/02/2021
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