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Amanda Theobald

NPI 1528699824 · on the registry since 2020 · sole proprietor

Practice

Address
170 Taylor Station Rd Ste 220
Columbus, OH 43213
Phone
(614) 866-8158
Clinicians at this address
58

Registry record

Primary taxonomy
225X00000X
225X00000X
Licence states on file
OH
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2023-11-27

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 Ohio