Provider Demographics
NPI:1417324005
Name:HILZER, AMANDA (CPTC, ATC)
Entity Type:Individual
Prefix:
First Name:AMANDA
Middle Name:
Last Name:HILZER
Suffix:
Gender:F
Credentials:CPTC, ATC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:437 N CARRIE ST
Mailing Address - Street 2:
Mailing Address - City:MCPHERSON
Mailing Address - State:KS
Mailing Address - Zip Code:67460-3711
Mailing Address - Country:US
Mailing Address - Phone:620-200-2606
Mailing Address - Fax:
Practice Address - Street 1:437 N CARRIE ST
Practice Address - Street 2:
Practice Address - City:MCPHERSON
Practice Address - State:KS
Practice Address - Zip Code:67460-3711
Practice Address - Country:US
Practice Address - Phone:620-200-2606
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-08-31
Last Update Date:2021-01-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS20000224372255A2300X
225200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225200000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapy Assistant
No2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer