Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
AMANDA SALLEY, MS, RD, CSP, LDN
Active Sole ProprietorPediatric Nutrition · MOUNT PLEASANT, SC
Registration Details
- NPI Number
- 1043757149
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jan 26, 2017 (9.2357286021389 yrs)
- Last Updated
- Feb 24, 2025
- Licenses
-
164.006966 (IL)2758 (SC)
- Sole Proprietor
- Yes
Practice Information
- Address
-
129 PALM COVE WAYMOUNT PLEASANT, SC, 294668160Browse SC providers · Browse ZIP 29466
- Phone
- 2608042880
- Primary Specialty
-
Pediatric Nutrition
133VN1004X
- Additional Specialty
- Pediatric Nutrition
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.