National Provider Identifier
Amanda Lyn Moore, DPT
Amanda Lyn Moore, DPT is listed in the NPPES registry with a primary specialty of Physical Therapist in Cheektowaga, NY and a listed phone number of (716) 631-9515.
Profile Overview
- NPI
- 1073965620
- Provider Type
- Individual
- Primary Specialty
- Physical Therapist
- Enumeration Date
- July 07, 2016
- Last Updated
- July 07, 2016
Practice Location
- 777 Maryvale Dr
- Cheektowaga, NY 14225-2712
Phone: (716) 631-9515
Specialties
- Physical Therapist (225100000X)
Full Record
- NPI
- 1073965620
- Entity Type
- Individual
- Last Name
- Moore
- First Name
- Amanda
- Middle Name
- Lyn
- Credential
- DPT
- Mailing Street Address
- 777 Maryvale Dr
- Mailing City
- Cheektowaga
- Mailing State
- NY
- Mailing ZIP Code
- 14225-2712
- Mailing Country
- US
- Mailing Phone
- (716) 631-9515
- Practice Street Address
- 777 Maryvale Dr
- Practice City
- Cheektowaga
- Practice State
- NY
- Practice ZIP Code
- 14225-2712
- Practice Country
- US
- Practice Phone
- (716) 631-9515
- Enumeration Date
- July 07, 2016
- Last Updated
- July 07, 2016
- Sex
- Female
- Sole Proprietor
- No
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Physical Therapist (225100000X)