IndividualActive
Amanda Nelson
NPI 1093670622 · Physical Therapy Assistant · Waconia, MN
Provider details
- NPI number
- 1093670622
- Entity type
- Individual
- Primary specialty
- Physical Therapy AssistantRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Sex
- Female
- Sole proprietor
- No
- License
- A47 (MN)
Mailing address
1392 Shadywood Ln
Waconia, MN 55387-1179
Registry dates
- Enumerated
- 2025-12-16
- Last updated
- 2025-12-16
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.