Amanda Damewood, P.T.
Physical Therapist in Glenmora, LA. Individual provider (NPI-1).
NPI number1396005609
StatusActive
Last updated in NPPESMay 21, 2012
Details
- NPI
- 1396005609
- Entity type
- Individual (NPI-1)
- Name
- Ms. Amanda Damewood
- Credential
- P.T.
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- May 21, 2012
- Last updated
- May 21, 2012
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225100000X | Physical Therapist | 08061 | – | Yes |
Practice location
375 Sugartown RdGlenmora, LA 71433-6023
Phone 318-715-1559
Mailing address
375 Sugartown RdGlenmora, LA 71433-6023
Phone 318-715-1559
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