Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
AMANDA ILLA PICKWORTH-CHRUSCIEL, PT, DPT
ActiveAMANDA ILLA PICKWORTH-CHRUSCIEL, PT, DPT is a Physical Therapy Assistant healthcare provider located in NORTHVILLE CHARTER TOWNSHIP, Michigan. NPI 1821656950 is currently active in the NPPES registry. Verify at CMS.
Physical Therapy Assistant · NORTHVILLE CHARTER TOWNSHIP, MI
Registration Details
- NPI Number
- 1821656950
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jun 4, 2019 (7.0511253248746 yrs)
- Last Updated
- Feb 5, 2025
- Licenses
-
5502003904 (MI)5501303770 (MI)
Practice Information
- Address
-
17783 HAGGERTY RD STE BNORTHVILLE CHARTER TOWNSHIP, MI, 481689802Browse MI providers · Browse ZIP 48168
- Phone
- 7348951901
- Fax
- 8557941008
- Primary Specialty
-
Physical Therapy Assistant
225100000X
- Additional Specialty
- Physical Therapy Assistant
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.