Provider Demographics
NPI:1801642806
Name:BREES, AMANDA LYNNE (EDD RMT C-IAYT)
Entity type:Individual
Prefix:DR
First Name:AMANDA
Middle Name:LYNNE
Last Name:BREES
Suffix:
Gender:F
Credentials:EDD RMT C-IAYT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:131 MAIN ST W
Mailing Address - Street 2:
Mailing Address - City:WABASHA
Mailing Address - State:MN
Mailing Address - Zip Code:55981-1236
Mailing Address - Country:US
Mailing Address - Phone:530-925-2465
Mailing Address - Fax:
Practice Address - Street 1:131 MAIN ST W
Practice Address - Street 2:
Practice Address - City:WABASHA
Practice Address - State:MN
Practice Address - Zip Code:55981-1236
Practice Address - Country:US
Practice Address - Phone:530-925-2465
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-04-29
Last Update Date:2024-04-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
101YP1600X, 225700000X
MN68119833171400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist
No101YP1600XBehavioral Health & Social Service ProvidersCounselorPastoral
No171400000XOther Service ProvidersHealth & Wellness Coach