Minick, Amanda M

Minick, Amanda M is an individual health care provider with primary practice located at 1043 Jack Vest Dr , Johnson City TN 37614. 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. Minick, Amanda M can be contacted via phone (423) 439-4044.

Contact Information

Primary practice address
1043 Jack Vest Dr Johnson City TN 37614
Phone: (423) 439-4044
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X 10335 North Carolina
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X 10010 Tennessee

Profile Details

NPI number 1063429462
LBN Legal business name Minick, Amanda M
Credentials Physical Therapist (PT)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 1st, 2006
Last updated Jan 25th, 2024 - about last year

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 1063429462 NPPES
North Carolina MEDICAID 7211956
North Carolina Other 188109
North Carolina MEDICAID Q033316
North Carolina Other 079Y3

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