Provider Demographics
NPI:1841531217
Name:RITCHEY, AMANDA (REEGT, CLTM, CNIM)
Entity type:Individual
Prefix:
First Name:AMANDA
Middle Name:
Last Name:RITCHEY
Suffix:
Gender:F
Credentials:REEGT, CLTM, CNIM
Other - Prefix:
Other - First Name:AMANDA
Other - Middle Name:
Other - Last Name:PRUISMANN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:REEGT, CLTM
Mailing Address - Street 1:2321 BOXWOOD DR
Mailing Address - Street 2:
Mailing Address - City:CEDAR FALLS
Mailing Address - State:IA
Mailing Address - Zip Code:50613-7966
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:3042 S COUNTY ROAD 475 E
Practice Address - Street 2:
Practice Address - City:PLAINFIELD
Practice Address - State:IN
Practice Address - Zip Code:46168-8353
Practice Address - Country:US
Practice Address - Phone:844-334-2334
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-03-11
Last Update Date:2020-09-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes246ZE0600XTechnologists, Technicians & Other Technical Service ProvidersSpecialist/Technologist, OtherElectroneurodiagnostic