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

Mrs. Amanda Lynne Weidner, PT

Individual provider Physical Therapist · NPI 1669973319

Mrs. Amanda Lynne Weidner, PT is a Physical Therapist in Saint Clair Shores, Michigan. Practices as a sole proprietor. Licensed in Michigan.

Licensed in
MI
In the registry since
2018
What do these letters mean?
PT — Physical Therapist
A licensed therapist who treats movement, pain and injury.

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Practice location Address checks out

23715 Little Mack Ave Ste 200
Saint Clair Shores, MI 48080-1181
Phone: (586) 447-4064
Fax: (586) 447-4069
Show map & directions

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

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 5501012049 (MI)

Record details

NPI number1669973319
Entity typeIndividual (Type 1)
GenderFemale
Credentials PT
Sole proprietorYes
NPI enumeratedFebruary 27, 2018
Last updated in NPPESFebruary 27, 2018

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