Provider Demographics
NPI:1366410888
Name:DARDING, AMANDA LYNN (PT)
Entity type:Individual
Prefix:MRS
First Name:AMANDA
Middle Name:LYNN
Last Name:DARDING
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1056 W 2ND AVE
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43212-3613
Mailing Address - Country:US
Mailing Address - Phone:614-297-7797
Mailing Address - Fax:
Practice Address - Street 1:3967 PRESIDENTIAL PKWY
Practice Address - Street 2:SUITE C
Practice Address - City:POWELL
Practice Address - State:OH
Practice Address - Zip Code:43065-7268
Practice Address - Country:US
Practice Address - Phone:614-791-0700
Practice Address - Fax:614-791-0702
Is Sole Proprietor?:No
Enumeration Date:2006-03-10
Last Update Date:2009-04-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH9602225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist