Amanda Henry, DO

NPI 1548464035 · on the registry since 2007

Practice

Address: 6505 Constitution Blvd Ste C
Portage, MI 49024
Phone: (269) 762-4120
Fax: (269) 254-8413
Organisation at this address: Rahaf Kanawati Dental Pc
Internal Medicine & Aesthetics
Internal Medicine And Vitality, Pllc
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 3

Registry record

Primary taxonomy: 207R00000X
207R00000X
Licence states on file: MI
From the registry's licence fields, which are often incomplete.
Sex: Female
Record last updated: 2025-01-06

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 Michigan