Amanda M Krov, PTA
Individual provider Active NPI Physical Therapy Assistant · Cheyenne, WY
NPI 1407106917 · NPPES record last updated Sep 12, 2012
Key facts
- NPI
- 1407106917
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapy Assistant 225200000X
- License
- 0760 (WY)
- Practice address
- 3352 Dunn Ave
Cheyenne, WY 82001-1535 - Phone
- (307) 421-1154
- NPI assigned
- Sep 12, 2012
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0760 | WY | MD | Physical Therapy Assistant |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Assistant | 225200000X | 0760 | WY | Yes |
Addresses
Primary practice location
3352 Dunn Ave
Cheyenne, WY 82001-1535
Mailing address
3352 Dunn Ave
Cheyenne, WY 82001-1535
Other providers in Cheyenne, WY
- Megan Kraushaar
- Kathleen Krempels
- Alton John Krenzelok
- Mary Kay Krivy
- Nancy Kay Krois
- Ashley Nicole Krug
- Mary Charlotte Krul
- Kimberly Krumm
- Samer Ksaibati
- Michael Pete Kuhn
All providers in Cheyenne, WY · Physical Therapy Assistant in Wyoming
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 12, 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.