Doctor Name: | AMANDA BETH BACKLUND |
NPI Number: | 1174771919 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | D.P.T. |
License Number: | 2236 |
Business Practice Address: | 415 Hwy 95a South Suite C302 Fernley, NV - 89408 |
Business Phone Number: | 7755751818 |
Business Fax Number: | 7755751808 |
Mailing Address: | 10605 Double R Blvd, Suite 200 RENO |
State: | NV |
Postal Code: | 89521 |
Phone Number: | 7758537475 |
Fax Number: | 7758532013 |
NPI Enumeration Date: | 09/05/2008 |
NPI Last Update Date: | 09/05/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 2236 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NV |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Physical Therapist |
Taxonomy Specialization: | |
Taxonomy Definition: | (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT |