IndividualActive
Amanda Dorner, PTA
NPI 1255675229 · Physical Therapy Assistant · Crestview, FL
Provider details
- NPI number
- 1255675229
- Entity type
- Individual
- Primary specialty
- Physical Therapy AssistantRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- PTA
- Sex
- Female
- Sole proprietor
- No
- License
- A-0913 (NM)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
521 E Cedar Ave Ste a
Crestview, FL 32539-2860
Phone: (850) 331-3017
Fax: (850) 331-6635
Approximate (ZIP-level) locationGet directions
Mailing address
521 E Cedar Ave Ste a
Crestview, FL 32539-2860
Registry dates
- Enumerated
- 2012-11-15
- Last updated
- 2020-01-31
- Certified
- 2020-01-31
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.