Provider Demographics
NPI:1811717424
Name:RAWLINGS, AMANDA MICHELE (PT TECHNICIAN)
Entity type:Individual
Prefix:
First Name:AMANDA
Middle Name:MICHELE
Last Name:RAWLINGS
Suffix:
Gender:F
Credentials:PT TECHNICIAN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PSC 475 BOX 1784
Mailing Address - Street 2:
Mailing Address - City:FPO
Mailing Address - State:AP
Mailing Address - Zip Code:96350-1784
Mailing Address - Country:US
Mailing Address - Phone:760-270-0928
Mailing Address - Fax:
Practice Address - Street 1:PSC 475 BOX 1784
Practice Address - Street 2:
Practice Address - City:FPO
Practice Address - State:AP
Practice Address - Zip Code:96350-1784
Practice Address - Country:US
Practice Address - Phone:315-243-5938
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-10-16
Last Update Date:2024-10-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes246Z00000XTechnologists, Technicians & Other Technical Service ProvidersSpecialist/Technologist, Other