Individual
AMANDA NUEST
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
900 MAIN ST, SUITE 450, PEORIA, IL 61602-1005
(309) 672-4568
(309) 672-4569
Mailing address
900 MAIN ST, SUITE 450, PEORIA, IL 61602-1005
(309) 672-4568
(309) 672-4569
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
070015455
IL
Other
Enumeration date
04/01/2009
Last updated
04/01/2009
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