Individual
AMANDA MAXEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
7616 LYNDON B JOHNSON FWY STE 640, DALLAS, TX 75251-1184
(214) 960-4038
Mailing address
5421 N JACKSON AVE, KANSAS CITY, MO 64119-2753
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
2016007717
MO
310400000X
Assisted Living Facility
2016007717
MO
Other
Enumeration date
07/12/2016
Last updated
07/12/2016
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