Amanda Jo Temple, MPT
Individual provider Active NPI Physical Therapist · Lookout Mountain, TN
NPI 1790989697 · NPPES record last updated Feb 4, 2011
Key facts
- NPI
- 1790989697
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- PT7833 (TN)
- Practice address
- 820 Scenic Hwy Ste B
Mountain Center Building
Lookout Mountain, TN 37350-1474 - Phone
- (423) 825-1393
- Fax
- (423) 825-6147
- NPI assigned
- Jun 13, 2007
- 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)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT7833 | TN | MD | Physical Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT7833 | TN | Yes |
Addresses
Primary practice location
820 Scenic Hwy Ste B
Mountain Center Building
Lookout Mountain, TN 37350-1474
Mailing address
8823 Production LN
Ooltewah, TN 37363-6511
Phone (423) 238-7217
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 03650060 | Medicaid | TN |
Other names
- Amanda Jo Morris
Other providers in Lookout Mountain, TN
- Independent Physical Therapy
- Leigh Carter Kuyrkendall
- Lookout Mountain Physical Therapy, LLC
- Elizabeth Moore
- Nathan H Mull IV LLC
- Kate Townsend
All providers in Lookout Mountain, TN · Physical Therapist in Tennessee
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 4, 2011. 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.