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:
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Health care specialties

SpecialtyCodeLicense #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 3 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 1366616898 NPPES
Virginia MEDICAID 004979681
Virginia MEDICAID 4979681

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