Fleming, Amanda Lee
Fleming, Amanda Lee is an sole proprietor health care provider with primary practice located at 389 Kane Street , Gate City VA 24251. She recently has 2 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, Ambulatory Health Care Facilities / Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF). Ambulatory Health Care Facilities / Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF) is her primary health care specialty. Fleming, Amanda Lee can be contacted via phone (276) 386-2424.Contact Information
Primary practice address
389 Kane Street
Gate City VA 24251
Phone: (276) 386-2424
Fax: (276) 386-2349
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist | 225100000X | 2305204535 | Virginia |
Ambulatory Health Care Facilities / Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF) | 261QR0401X | 2305204535 | Virginia |
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist | 225100000X | 6604 | Tennessee |
Profile Details
NPI number | 1366616898 |
---|---|
LBN Legal business name | Fleming, Amanda Lee |
Credentials | Physical Therapist (PT) |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Apr 16th, 2008 |
Last updated | Oct 25th, 2021 - about 4 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1366616898 | NPPES |
Virginia | MEDICAID | 004979681 | |
Virginia | MEDICAID | 4979681 |
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