Keaster, Amanda Ellisha

Keaster, Amanda Ellisha is an sole proprietor health care provider with primary practice located at 920 University Dr , Russellville AR 72801-4303. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist, which is considered as her primary health care specialty. Keaster, Amanda Ellisha can be contacted via phone (479) 967-2322.

Contact Information

Primary practice address
920 University Dr Russellville AR 72801-4303
Phone: (479) 967-2322
Fax: (479) 967-2876
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist 225X00000X OTR2066 Arkansas

Profile Details

NPI number 1184732752
LBN Legal business name Keaster, Amanda Ellisha
Credentials OTR/L
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 25th, 2006
Last updated Jul 21st, 2023 - about 2 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 1184732752 NPPES
Arkansas Other 662725 HEALTHLINK
Arkansas MEDICAID 162765721 HEALTHLINK
Arkansas Other 5A030 HEALTHLINK

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