Individual
AMANDA E FEENEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
4123 RADIO DRIVE, STE 100, WOODBURY, MN 55129
(651) 968-5201
Mailing address
710 COMMERCE DR 200, WOODBURY, MN 55125-4925
(651) 968-5042
(651) 968-5904
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
9963
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
056608
MEDICARE
CA
Enumeration date
03/09/2012
Last updated
07/21/2022
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