Individual
AMANDA M UTING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
530 N 108TH PL STE 200, WAUWATOSA, WI 53226-4253
(414) 708-8066
Mailing address
850 43RD AVE STE 100, MOLINE, IL 61265-8401
(309) 743-2070
(309) 743-2073
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
005288
IA
225100000X
Physical Therapist
12491-24
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
005288
IOWA PT LICENSE
IA
Enumeration date
10/31/2013
Last updated
07/11/2023
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