IndividualActive
Amanda Brueback
NPI 1861875569 · Physical Therapy Assistant · Mesa, AZ
Provider details
- NPI number
- 1861875569
- Entity type
- Individual
- Primary specialty
- Physical Therapy AssistantRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Sex
- Female
- Sole proprietor
- No
- License
- 10294A (AZ)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
7255 E Broadway Rd
Mesa, AZ 85208-9201
Phone: (480) 981-8844
Approximate (ZIP-level) locationGet directions
Mailing address
1873 E San Tan St
Chandler, AZ 85225-8240
Registry dates
- Enumerated
- 2015-06-30
- Last updated
- 2015-06-30
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.