Provider Demographics
NPI:1649555798
Name:AMATO, AMANDA M (PT, DPT)
Entity type:Individual
Prefix:MS
First Name:AMANDA
Middle Name:M
Last Name:AMATO
Suffix:
Gender:F
Credentials:PT, DPT
Other - Prefix:
Other - First Name:AMANDA
Other - Middle Name:M
Other - Last Name:HANSON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PT
Mailing Address - Street 1:15508 W. BELL RD.
Mailing Address - Street 2:SUITE 101, PMB 210
Mailing Address - City:SURPRISE
Mailing Address - State:AZ
Mailing Address - Zip Code:85374
Mailing Address - Country:US
Mailing Address - Phone:623-432-9965
Mailing Address - Fax:623-572-0422
Practice Address - Street 1:15459 W. BELL RD.
Practice Address - Street 2:SUITE 107
Practice Address - City:SURPRISE
Practice Address - State:AZ
Practice Address - Zip Code:85374
Practice Address - Country:US
Practice Address - Phone:623-432-9965
Practice Address - Fax:623-214-9961
Is Sole Proprietor?:No
Enumeration Date:2011-10-19
Last Update Date:2018-09-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2251X0800XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistOrthopedic
No2251S0007XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistSports