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

Amanda Kanack, PTA

Individual provider Physical Therapy Assistant · NPI 1376026062

Amanda Kanack, PTA is a Physical Therapy Assistant in Milwaukee, Wisconsin. Practices as a sole proprietor. Registered with an NPI since 2018.

In the registry since
2018
What do these letters mean?
PTA — Physical Therapist Assistant
Delivers treatment under a physical therapist's direction.

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Practice location Address checks out

2906 S 20th St
Milwaukee, WI 53215-3732
Phone: (414) 672-1353
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapy Assistant (primary) Taxonomy 225200000X

Record details

NPI number1376026062
Entity typeIndividual (Type 1)
GenderFemale
Credentials PTA
Sole proprietorYes
NPI enumeratedSeptember 10, 2018
Last updated in NPPESJune 26, 2023
Certification dateJune 26, 2023
Mailing addressPo Box 778789, Chicago, IL 60677-8789

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