AMANDA RUSSELL

Occupational Therapy Assistant

Active Individual
NPI: 1982575924

Practice Address

636 N MAIN AVE
Republic, MO 65738

Phone: (417) 732-3605

Specialties

Specialty Code Primary License
Occupational Therapy Assistant 224Z00000X Yes 2025036586 (MO)

Frequently Asked Questions

NPI 1982575924 is the National Provider Identifier for AMANDA RUSSELL, a Occupational Therapy Assistant provider located in Republic, MO. This NPI was enumerated on September 15, 2025.
AMANDA RUSSELL practices at 636 N MAIN AVE, Republic, MO 65738.

Quick Facts

NPI
1982575924
Type
Individual
Enumerated
Sep 15, 2025
Last Updated
Sep 15, 2025

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