Amanda Damewood, P.T.
Individual provider Active NPI Physical Therapist · Glenmora, LA
NPI 1396005609 · NPPES record last updated May 21, 2012
Key facts
- NPI
- 1396005609
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- 08061
- Practice address
- 375 Sugartown Rd
Glenmora, LA 71433-6023 - Phone
- (318) 715-1559
- NPI assigned
- May 21, 2012
- 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
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 08061 | Yes |
Addresses
Primary practice location
375 Sugartown Rd
Glenmora, LA 71433-6023
Mailing address
375 Sugartown Rd
Glenmora, LA 71433-6023
Phone (318) 715-1559
Other providers in Glenmora, LA
- Access Health Louisiana
- Christus Health Central Louisiana
- Dove Family Clinic, Inc
- Darlinda Theresa Dove
- Trinity Renee' English
- Nicole Johnson
- Tambra Malone
All providers in Glenmora, LA · Physical Therapist in Louisiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 21, 2012. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.