IndividualActive
Amy Vandetta, PTA, ATC
NPI 1538299524 · Physical Therapy Assistant · Sweet Home, OR
Provider details
- NPI number
- 1538299524
- Entity type
- Individual
- Primary specialty
- Physical Therapy AssistantRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- PTA, ATC
- Sex
- Female
- Sole proprietor
- No
- License
- 8079 (OR)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
646 Holley Rd
Sweet Home, OR 97386-3344
Phone: (541) 451-6272
Fax: (541) 451-6278
Approximate (ZIP-level) locationGet directions
Mailing address
38444 River Dr
Lebanon, OR 97355-9318
Registry dates
- Enumerated
- 2007-03-07
- Last updated
- 2025-09-11
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.