Individual
AMANDA L BACKES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT/LAT
Contact information
Practice address
3160 8TH ST SW, SUITE M&N, ALTOONA, IA 50009-1023
(515) 967-4580
(515) 967-4899
Mailing address
205 W WACKER DR, SUITE 1020, CHICAGO, IL 60606-1216
(312) 640-0329
(515) 967-4899
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
004070
IA
225100000X
Physical Therapist
Primary
2008014942
MO
2255A2300X
Athletic Trainer
2008014941
MO
Other
Enumeration date
06/11/2007
Last updated
05/20/2014
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