NPI 1982575924

Amanda Russell

Practitioner Occupational Therapy Assistant Republic, MO

Practice location

Address: 636 N Main Ave, Republic, MO 65738-1083
Phone: (417) 732-3605
Mailing address: 2219 E Foxborough Dr, Republic, MO 65738-1762

Registered specialties

Occupational Therapy Assistant Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 224Z00000X Licence 2025036586 (MO)

Other Occupational Therapy Assistant providers in Missouri →

Registry record

NPI: 1982575924
Entity type: Individual
Sex (as registered): Female
NPI issued: 15 Sep 2025
Record last updated: 15 Sep 2025

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.