Provider Demographics
NPI:1720379167
Name:ECKER, AMANDA K (RMT)
Entity Type:Individual
Prefix:
First Name:AMANDA
Middle Name:K
Last Name:ECKER
Suffix:
Gender:F
Credentials:RMT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8993 HIGH MESA RD
Mailing Address - Street 2:
Mailing Address - City:OLATHE
Mailing Address - State:CO
Mailing Address - Zip Code:81425-9205
Mailing Address - Country:US
Mailing Address - Phone:970-275-4282
Mailing Address - Fax:
Practice Address - Street 1:8993 HIGH MESA RD
Practice Address - Street 2:
Practice Address - City:OLATHE
Practice Address - State:CO
Practice Address - Zip Code:81425-9205
Practice Address - Country:US
Practice Address - Phone:970-275-4282
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-04-19
Last Update Date:2011-04-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO8206208D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice