Amanda Jean Hite, PTA

Individual provider Active NPI Physical Therapy Assistant · Warrenton, MO

NPI 1255837647 · NPPES record last updated Apr 4, 2018

Key facts

NPI
1255837647
Entity type
Individual (NPI type 1)
Primary specialty
Physical Therapy Assistant 225200000X
License
2015024374 (MO)
Practice address
1 Town and Country Marketplace
Warrenton, MO 63383
Phone
(636) 235-3830
Fax
(636) 235-3833
NPI assigned
Apr 4, 2018
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
2015024374MOMDPhysical Therapy Assistant

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Assistant 225200000X 2015024374 MO Yes

Addresses

Primary practice location

1 Town and Country Marketplace
Warrenton, MO 63383

Mailing address

1 Town and Country Market PL
Warrenton, MO 63383-1372
Phone (636) 235-3830

Other providers in Warrenton, MO

All providers in Warrenton, MO · Physical Therapy Assistant in Missouri

Sources for this page

Verify at the official NPI Registry.