NPI 1174771919 · live from the CMS NPI Registry
Amanda Beth Backlund, D.P.T.
Physical Therapist in Fernley, NV. National Provider Identifier 1174771919, active.
NPI record
| NPI | 1174771919 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Physical Therapist 225100000X |
| Practice location | 415 Hwy 95a South, Suite C302, Fernley, NV 89408 |
| Practice phone | 775-575-1818 |
| Mailing address | 10605 Double R Blvd, Suite 200, Reno, NV 89521 |
| Enumerated | September 5, 2008 |
| Last updated | September 5, 2008 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Physical Therapist primary | 225100000X | 2236 (NV) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.