AMANDA KATHLEEN ARCHER
NPI 1295129807
Rehabilitation Practitioner in Ukiah, CA
- Individual
- Female
- Rehabilitation Practitioner
About AMANDA ARCHER
This page provides the complete NPI Profile along with additional information for Amanda Archer, a provider established in Ukiah, California with a medical specialization in Rehabilitation Practitioner. The healthcare provider is registered in the NPI registry with number 1295129807 assigned on March 2015. The practitioner's primary taxonomy code is 225400000X. The provider is registered as an individual and her NPI record was last updated 2 years ago.
- NPI
- 1295129807 Verify this NPI
- Provider Name
- AMANDA KATHLEEN ARCHER
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 776 S STATE ST STE 107 UKIAH, CA 95482
- Location Phone
- (707) 463-4915
- Mailing Address
- 776 S STATE ST STE 107 UKIAH, CA 95482
- Mailing Phone
- (707) 463-4915
- Is Sole Proprietor?
- No
- Enumeration Date
- 03-20-2015
- Last Update Date
- 06-27-2024
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Rehabilitation Practitioner
- Taxonomy Code
- 225400000X
- Type
- Respiratory, Developmental, Rehabilitative and Restorative Service Providers
- License State
- CA
- Taxonomy Description
- A health care practitioner who trains or retrains individuals disabled by disease or injury to help them attain their maximum functional capacity.
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 171M00000X | Other Service Providers | Case Manager/Care Coordinator |
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Other Providers at the Same Location
The following 9 providers are registered at the same or a nearby location.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1295129807, enumerated as an "individual" on March 20, 2015.
The provider is located at 776 S STATE ST STE 107 UKIAH, CA 95482 and the phone number is (707) 463-4915.
Rehabilitation Practitioner with taxonomy code 225400000X.
