| Doctor Name: | DR. AMANDA LAREE GROVE |
| NPI Number: | 1235402058 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | DPT, CSCS |
| License Number: | 2346 |
| Business Practice Address: | 2621 15th Ave S Great Falls, MT - 594055201 |
| Business Phone Number: | 4067318930 |
| Business Fax Number: | 4067318935 |
| Mailing Address: | 1310 55th Ave S, GREAT FALLS |
| State: | MT |
| Postal Code: | 594058268 |
| Phone Number: | 4064598840 |
| Fax Number: | |
| NPI Enumeration Date: | 02/10/2012 |
| NPI Last Update Date: | 02/10/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 225100000X |
| License Number: | 2346 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MT |
| 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 |