Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
AMANDA RUSSELL
ActiveAMANDA RUSSELL is a Occupational Therapy Assistant healthcare provider located in REPUBLIC, Missouri. NPI 1982575924 is currently active in the NPPES registry. Verify at CMS.
Occupational Therapy Assistant · REPUBLIC, MO
Registration Details
- NPI Number
- 1982575924
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Sep 15, 2025 (0.8739875338424 yrs)
- Last Updated
- Sep 15, 2025
- License
-
2025036586 (MO)
Practice Information
- Address
-
636 N MAIN AVEREPUBLIC, MO, 657381083Browse MO providers · Browse ZIP 65738
- Phone
- 4177323605
- Primary Specialty
-
Occupational Therapy Assistant
224Z00000X
Other Occupational Therapy Assistant Providers in REPUBLIC, MO
| Name | Credential | NPI |
|---|---|---|
| MRS. JENNIFER L BERRYESSA | COTA/L | 1013788330 |
| JESSICA KENDRICK | COTA/L | 1528825718 |
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.