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

Amanda Russell

Individual provider Occupational Therapy Assistant · NPI 1982575924

Amanda Russell is an Occupational Therapy Assistant in Republic, Missouri. Works from 2 locations. Licensed in Missouri.

Licensed in
MO
In the registry since
2025

Practice location Address checks out

636 N Main Ave
Republic, MO 65738-1083
Phone: (417) 732-3605
Show map & directions

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

Additional practice locations (1)

  • 100 E Front St, Rogersville, MO 65742-9236 — (417) 753-2891

Specialties & licences

Occupational Therapy Assistant (primary) Taxonomy 224Z00000X · Licence 2025036586 (MO)

Record details

NPI number1982575924
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedSeptember 15, 2025
Last updated in NPPESSeptember 15, 2025
Certification dateSeptember 14, 2025
Mailing address2219 E Foxborough Dr, Republic, MO 65738-1762

Other providers in Republic