Amanda Nicole Larue, PTA

Physical Therapy Assistant · Boca Raton, FL

Individual Active NPI

NPI number 1114159100

Practice location

5901 Broken Sound Pkwy Ste 500
Boca Raton, FL 33487-2791
Phone
(800) 875-8999

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NPI record

NPI
1114159100
Entity type
Individual (Type 1)
Enumeration date
August 10, 2009
Last updated
August 10, 2009
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Physical Therapy Assistant Primary 225200000X 3719 NC
Physical Therapy Assistant 225200000X 2070555 TX

Mailing address

1055 25TH St NE
Hickory, NC 28601-3029
Phone
(828) 320-6827

About Amanda Larue

Amanda Nicole Larue, PTA is a healthcare provider registered in the NPI registry with the primary taxonomy Physical Therapy Assistant (code 225200000X). The practice location is 5901 Broken Sound Pkwy Ste 500, Boca Raton, FL 33487-2791. The NPI number 1114159100 was assigned on August 10, 2009 and the record was last updated on August 10, 2009.

Amanda Larue lists 2 licenses in the registry: #3719 (NC) for Physical Therapy Assistant; #2070555 (TX) for Physical Therapy Assistant. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Amanda Nicole Larue, PTA?

The NPI number is 1114159100.

What is the phone number of Amanda Larue?

The phone number listed for the practice location is (800) 875-8999.

Where is Amanda Larue located?

5901 Broken Sound Pkwy Ste 500, Boca Raton, FL 33487-2791.

What is the taxonomy code for Amanda Larue?

The primary taxonomy code is 225200000X – Physical Therapy Assistant; 1 more listed above.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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