Individual
AMANDA ROSE ELDERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
1239 E MCKELLIPS RD STE 112, MESA, AZ 85203-2700
(480) 588-7976
Mailing address
1239 E MCKELLIPS RD STE 112, MESA, AZ 85203-2700
(480) 588-7976
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
14379
AZ
225200000X
Physical Therapy Assistant
9955
OR
Other
Enumeration date
06/17/2021
Last updated
03/18/2026
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