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

Amanda Waller

Individual provider Physical Therapy Assistant · NPI 1134504657

Amanda Waller is a Physical Therapy Assistant in Rice Lake, Wisconsin. Licensed in Wisconsin. Registered with an NPI since 2015.

Licensed in
WI
In the registry since
2015

Practice location Address checks out

19 W Newton St
Rice Lake, WI 54868-1744
Phone: (715) 234-2161
Show map & directions

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

Specialties & licences

Physical Therapy Assistant (primary) Taxonomy 225200000X · Licence 2319-19 (WI)

Record details

NPI number1134504657
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJuly 26, 2015
Last updated in NPPESJuly 26, 2015
Mailing address19 W Newton St, Rice Lake, WI 54868-1744

Other providers in Rice Lake