Provider Demographics
NPI:1770047540
Name:TODD, AMANDA GUERRERO (MS, ATC)
Entity type:Individual
Prefix:MRS
First Name:AMANDA
Middle Name:GUERRERO
Last Name:TODD
Suffix:
Gender:F
Credentials:MS, ATC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:173 MISSION VILLAS RD
Mailing Address - Street 2:
Mailing Address - City:SAN MARCOS
Mailing Address - State:CA
Mailing Address - Zip Code:92069-2081
Mailing Address - Country:US
Mailing Address - Phone:619-971-0445
Mailing Address - Fax:
Practice Address - Street 1:31322 COLE GRADE RD
Practice Address - Street 2:
Practice Address - City:VALLEY CENTER
Practice Address - State:CA
Practice Address - Zip Code:92082-3867
Practice Address - Country:US
Practice Address - Phone:760-751-5500
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-01-25
Last Update Date:2024-10-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer