Individual
AMANDA JEAN ENNETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, DPT
Contact information
Practice address
25577 CONIFER RD UNIT 125, CONIFER, CO 80433-9068
(303) 838-7444
Mailing address
1652 WOODSIDE DR, PINE, CO 80470-7951
(925) 784-4528
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PTL.0018501
CO
225100000X
Physical Therapist
—
—
Other
Enumeration date
05/21/2022
Last updated
08/13/2025
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