National Provider Identifier

Amanda Rachel Larson

Amanda Rachel Larson is listed in the NPPES registry with a primary specialty of Physical Therapist in Cheektowaga, NY and a listed phone number of (716) 505-5700.

NPI 1740064617Cheektowaga, NYPhysical Therapist

Profile Overview

NPI
1740064617
Provider Type
Individual
Primary Specialty
Physical Therapist
Enumeration Date
August 22, 2023
Last Updated
May 27, 2025

Practice Location

  • 4635 Union RD
  • Cheektowaga, NY 14225-1851

Phone: (716) 505-5700

Mailing Address

  • 130 Pleasant View Dr
  • Lancaster, NY 14086-1011

Specialties

  • Physical Therapist (225100000X)
Full Record
NPI
1740064617
Entity Type
Individual
Last Name
Larson
First Name
Amanda
Middle Name
Rachel
Mailing Street Address
130 Pleasant View Dr
Mailing City
Lancaster
Mailing State
NY
Mailing ZIP Code
14086-1011
Mailing Country
US
Mailing Phone
(716) 220-0725
Practice Street Address
4635 Union RD
Practice City
Cheektowaga
Practice State
NY
Practice ZIP Code
14225-1851
Practice Country
US
Practice Phone
(716) 505-5700
Enumeration Date
August 22, 2023
Last Updated
May 27, 2025
Sex
Female
Sole Proprietor
No
Certification Date
May 27, 2025
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Physical Therapist (225100000X)