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

Amanda Lynne Harrell, PTA

Individual provider Physical Therapy Assistant · NPI 1629556410

Amanda Lynne Harrell, PTA is a Physical Therapy Assistant in Lake City, Florida. Licensed in Florida. Registered with an NPI since 2018.

Licensed in
FL
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

1438 SW Main Blvd
Lake City, FL 32025-1106
Phone: (386) 755-3164
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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 · Licence PTA28364 (FL)

Record details

NPI number1629556410
Entity typeIndividual (Type 1)
GenderFemale
Credentials PTA
Sole proprietorNo
NPI enumeratedAugust 2, 2018
Last updated in NPPESAugust 2, 2018

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