IndividualActive
Amanda Mattera
NPI 1730888587 · Developmental Therapist · Crestwood, KY
Provider details
- NPI number
- 1730888587
- Entity type
- Individual
- Primary specialty
- Developmental TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Sex
- Female
- Sole proprietor
- Yes
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
5806 Summit View Ln
Crestwood, KY 40014-9660
Phone: (814) 282-3829
Approximate (ZIP-level) locationGet directions
Mailing address
5806 Summit View Ln
Crestwood, KY 40014-9660
Registry dates
- Enumerated
- 2023-03-01
- Last updated
- 2025-07-28
- Certified
- 2025-07-28
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.