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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

AMANDA KRISTAN MIRISE, DPT

Active Sole Proprietor

AMANDA KRISTAN MIRISE, DPT is a Pediatric Occupational Therapy healthcare provider located in TYLER, Texas. NPI 1497566624 is currently active in the NPPES registry. Verify at CMS.

Pediatric Occupational Therapy · TYLER, TX

Registration Details

NPI Number
1497566624
Provider Type
Individual
Gender
Female
NPI Issued
Jan 16, 2025 (1.6065718473957 yrs)
Last Updated
Jan 16, 2025
License
1401088 (TX)
Sole Proprietor
Yes

Practice Information

Address
100 E FERGUSON ST
TYLER, TX, 757025759
Browse TX providers · Browse ZIP 75702
Phone
9035092040
Primary Specialty
Pediatric Occupational Therapy
2251P0200X

Other Pediatric Occupational Therapy Providers in TYLER, TX

Name Credential NPI
KRISTI SMITH CURRIN PT, PCS 1649465444
MARY FLORES PT,DPT 1396173563
LISA CHANCE PT 1760808612
PAUL MOLINA PT, DPT 1396143327
KATIE LYNN WILSON PT, DPT 1972980779
GLYNNA TARRANT MCGUFFEY PT, DPT 1730644105
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.