| Doctor Name: | AMANDA DAWN RUNYAN |
| NPI Number: | 1790047355 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | DPT |
| License Number: | |
| Business Practice Address: | 600 Pleasant Ave. St. Joseph's Area Health Services Park Rapids, MN - 56470 |
| Business Phone Number: | 2182375496 |
| Business Fax Number: | 2182375702 |
| Mailing Address: | 600 Pleasant Ave., St. Joseph's Area Health Services PARK RAPIDS |
| State: | MN |
| Postal Code: | 56470 |
| Phone Number: | 2182375496 |
| Fax Number: | 2182375702 |
| NPI Enumeration Date: | 06/11/2012 |
| NPI Last Update Date: | 06/11/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 225100000X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| 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 |