Most Relevant Information
Provider Data
| NPI Number: | 1003329004 |
| Provider Name: | AMANDA CHRISTIANSEN |
| Entity Type: | Individual |
| Taxonomy Code: | 225200000X |
| Specialty: | Physical Therapy Assistant |
| License Number: |
Most Important Dates
| Enumeration Date: | 11/13/2017 |
| Last Updated: | 11/13/2017 |
Provider Practice Location
1612 N 37TH ST
SUPERIOR
WI
548805404
Practice Location Phone/Fax
| Phone: | 7153925144 |
| Fax: |
Provider Mailing Location
1612 N 37TH ST
SUPERIOR
WI
548805404
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |