Bush, Amanda Kaye

Bush, Amanda Kaye is an individual health care provider with primary practice located at 920 Cairo Rd , Thomasville GA 31792-4255. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapy Assistant, which is considered as her primary health care specialty. Bush, Amanda Kaye can be contacted via phone (229) 228-8800.

Contact Information

Primary practice address
920 Cairo Rd Thomasville GA 31792-4255
Fax:
Website:

Profile Details

NPI number 1902075229
LBN Legal business name Bush, Amanda Kaye
Credentials Physical Therapist Assistant (PTA)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 21st, 2008
Last updated Feb 21st, 2008 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1902075229 NPPES
Georgia Other PTA002449 LICENSE

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