Individual
AMANDA LYNN WELLS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
303 N HURSTBOURNE PKWY, SUITE 200, LOUISVILLE, KY 40222-5185
(502) 412-5847
Mailing address
7489 MURTAUGH LN, WEST CHESTER, OH 45069-1054
(513) 847-1750
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
06002644A
IN
225200000X
Physical Therapy Assistant
Primary
PTA.07896
OH
Other
Enumeration date
10/12/2012
Last updated
10/12/2012
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