Search › Mississippi › 225X00000X
Amanda Street, OT
NPI 1235287517 · on the registry since 2007
Practice
- Address
- 960 Commonwealth Blvd
Tupelo, MS 38804 - Phone
- (662) 260-3789
- Fax
- (662) 260-3790
- Clinicians at this address
- 42
Additional practice sites
- 1901 Mission 66, Vicksburg, MS
Registry record
- Primary taxonomy
- 225X00000X
225X00000X
- Licence states on file
- MS
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2022-06-08
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Mississippi