Individual
AMANDA MARIE MANKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR, MSOT
Contact information
Practice address
7501 PROSPECT AVE, KANSAS CITY, MO 64132-2103
(816) 421-5848
Mailing address
6397 LEE HWY STE 300, CHATTANOOGA, TN 37421-2564
(423) 238-7217
(423) 238-3473
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
17-03294
KS
225X00000X
Occupational Therapist
Primary
2017029692
MO
Other
Enumeration date
05/15/2017
Last updated
06/27/2019
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