Crouch, Amanda Marie

Crouch, Amanda Marie is an individual health care provider with primary practice located at 2109 Cedarwood Dr Suite 100, Muscatine IA 52761-2670. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as her primary health care specialty. Crouch, Amanda Marie can be contacted via phone (563) 288-6787.

Contact Information

Primary practice address
2109 Cedarwood Dr Suite 100 Muscatine IA 52761-2670
Phone: (563) 288-6787
Fax: (563) 288-6719
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X 004901 Iowa

Profile Details

NPI number 1063785608
LBN Legal business name Crouch, Amanda Marie
Credentials PT, D.P.T.
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 13th, 2012
Last updated Feb 14th, 2014 - about 11 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 1063785608 NPPES
Iowa MEDICAID 107205

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