Pippinger, Amanda Sue
Pippinger, Amanda Sue is an individual health care provider with primary practice located at 1900 Stillwater Dr , Jonesboro AR 72404-9119. She recently has 2 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapy Assistant, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist. Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist is her primary health care specialty. Pippinger, Amanda Sue can be contacted via phone (870) 932-3600.Contact Information
Primary practice address
1900 Stillwater Dr
Jonesboro AR 72404-9119
Phone: (870) 932-3600
Fax: (870) 932-3611
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapy Assistant | 225200000X | PTA 2059 | Arkansas |
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist | 225X00000X | OTR2532 | Arkansas |
Profile Details
| NPI number | 1558489468 |
|---|---|
| LBN Legal business name | Pippinger, Amanda Sue |
| Credentials | Physical Therapist Assistant (PTA) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 27th, 2007 |
| Last updated | Aug 31st, 2012 - about 13 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 | 1558489468 | NPPES |
| Arkansas | MEDICAID | 157415721 |
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