Individual provider · Type 1 NPI

Amanda Lynn Gum, PTA

Specialist · Beckley, WV

NPI number 1750607982 Active

Practice location

200 Veterans Ave
Beckley, WV 25843

Mailing address

365 Flat Top Lake
Ghent, WV 25843

Specialties and licenses

TaxonomyCodeLicense
Specialist Primary 174400000X001461 (WV)

Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

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About NPI 1750607982

Amanda Lynn Gum, PTA's National Provider Identifier is 1750607982, issued on Apr 13, 2010. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Beckley, WV. The record was last updated on Apr 13, 2010.