| Doctor Name: | AMANDA KAE ROBERTS AHMETI |
| NPI Number: | 1356691083 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | P.T. |
| License Number: | 5501013472 |
| Business Practice Address: | 601 Michigan Ave Suite 220 Holland, MI - 494234951 |
| Business Phone Number: | 6163554284 |
| Business Fax Number: | 6163554285 |
| Mailing Address: | 17615 W Moore, P.o. Box 518 GRANT |
| State: | MI |
| Postal Code: | 493279408 |
| Phone Number: | 2318340208 |
| Fax Number: | 2318340223 |
| NPI Enumeration Date: | 09/10/2012 |
| NPI Last Update Date: | 05/01/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 225100000X |
| License Number: | 5501013472 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MI |
| 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 |