Provider Demographics
NPI:1932498961
Name:TROJAN, AMANDA L (RMT)
Entity Type:Individual
Prefix:MS
First Name:AMANDA
Middle Name:L
Last Name:TROJAN
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 1:7939 E ARAPAHOE RD
Mailing Address - Street 2:SUITE 230
Mailing Address - City:GREENWOOD VILLAGE
Mailing Address - State:CO
Mailing Address - Zip Code:80112-6275
Mailing Address - Country:US
Mailing Address - Phone:248-840-1583
Mailing Address - Fax:
Practice Address - Street 1:7939 E ARAPAHOE RD
Practice Address - Street 2:SUITE 230
Practice Address - City:GREENWOOD VILLAGE
Practice Address - State:CO
Practice Address - Zip Code:80112-6275
Practice Address - Country:US
Practice Address - Phone:248-840-1583
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-03-30
Last Update Date:2012-07-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO8033225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist