Individual
AMANDA LYNN BECKENDORF
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
323 BLACK RIVER AVE, WESTBY, WI 54667-1127
(608) 634-3747
Mailing address
3007 NORTH CT APT 307, ONALASKA, WI 54650-3710
(608) 769-1658
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2154
WI
225200000X
Physical Therapy Assistant
A1832
MN
Other
Enumeration date
05/30/2021
Last updated
05/30/2021
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