Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Amanda Elizabeth Tyson Broadwater

Individual provider Physical Therapist · NPI 1538831599

Amanda Elizabeth Tyson Broadwater is a Physical Therapist in Atlanta, Georgia. Licensed in Georgia. Registered with an NPI since 2021.

Licensed in
GA
In the registry since
2021

Practice location Address checks out

3500 Lenox Rd NE Ste 1500
Atlanta, GA 30326-4231
Phone: (877) 407-3422
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence PT003732 (GA)

Record details

NPI number1538831599
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedSeptember 29, 2021
Last updated in NPPESMarch 22, 2024
Certification dateMarch 22, 2024

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