MRS. Amanda Lee Short, PTA

NPI #1366868853 in Pittsburg, Kansas

Provider Information

NPI Number: 1366868853
Entity Type: Individual
Name: MRS. Amanda Lee Short, PTA
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapy Assistant
Credential: PTA
Enumeration Date: Mar 9, 2014
Last Updated: Oct 31, 2014

Practice Location

Address: 1014 S MOUNT CARMEL PL
City: Pittsburg
State: Kansas
ZIP Code: 66762-6604
Phone: (620) 235-1500

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapy Assistant	225200000X	Primary

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