Provider Demographics
NPI:1811674989
Name:LOVE, AMANDA (NTP)
Entity type:Individual
Prefix:MS
First Name:AMANDA
Middle Name:
Last Name:LOVE
Suffix:
Gender:F
Credentials:NTP
Other - Prefix:MS
Other - First Name:AMANDA
Other - Middle Name:
Other - Last Name:LOVE
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:NTP
Mailing Address - Street 1:2525 WALLINGWOOD DR STE 7C
Mailing Address - Street 2:
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78746-6929
Mailing Address - Country:US
Mailing Address - Phone:512-422-8279
Mailing Address - Fax:
Practice Address - Street 1:2525 WALLINGWOOD DR STE 7C
Practice Address - Street 2:
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78746-6929
Practice Address - Country:US
Practice Address - Phone:512-422-8279
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-06-30
Last Update Date:2023-06-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171400000XOther Service ProvidersHealth & Wellness Coach