National Provider Identifier
Amanda Ingersoll Breedlove, PT, DPT
Amanda Ingersoll Breedlove, PT, DPT is listed in the NPPES registry with a primary specialty of Physical Therapist in Williamsville, NY and a listed phone number of (716) 498-2677.
Profile Overview
- NPI
- 1891272209
- Provider Type
- Individual
- Primary Specialty
- Physical Therapist
- Enumeration Date
- July 27, 2018
- Last Updated
- August 20, 2020
Practice Location
- 8469 Sheridan Dr
- Williamsville, NY 14221-4133
Phone: (716) 498-2677
Specialties
- Physical Therapist (225100000X)
- Physical Therapist (225100000X)
Full Record
- NPI
- 1891272209
- Entity Type
- Individual
- Last Name
- Breedlove
- First Name
- Amanda
- Middle Name
- Ingersoll
- Credential
- PT, DPT
- Provider Other Last Name
- Ingersoll
- Provider Other First Name
- Amanda
- Provider Other Middle Name
- Allen
- Provider Other Credential Text
- PT, DPT
- Provider Other Last Name Type Code
- 1
- Mailing Street Address
- 8469 Sheridan Dr
- Mailing City
- Williamsville
- Mailing State
- NY
- Mailing ZIP Code
- 14221-4133
- Mailing Country
- US
- Mailing Phone
- (301) 461-2090
- Practice Street Address
- 8469 Sheridan Dr
- Practice City
- Williamsville
- Practice State
- NY
- Practice ZIP Code
- 14221-4133
- Practice Country
- US
- Practice Phone
- (716) 498-2677
- Enumeration Date
- July 27, 2018
- Last Updated
- August 20, 2020
- Sex
- Female
- Sole Proprietor
- No
- Certification Date
- August 20, 2020
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Physical Therapist (225100000X), Physical Therapist (225100000X)