Provider Demographics
NPI:1902885239
Name:FORSHEY, AMANDA M (PT)
Entity Type:Individual
Prefix:
First Name:AMANDA
Middle Name:M
Last Name:FORSHEY
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:402 S LOGAN BLVD
Mailing Address - Street 2:
Mailing Address - City:LEWISTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:17044-1162
Mailing Address - Country:US
Mailing Address - Phone:717-248-2871
Mailing Address - Fax:
Practice Address - Street 1:151 E MARKET ST
Practice Address - Street 2:
Practice Address - City:LEWISTOWN
Practice Address - State:PA
Practice Address - Zip Code:17044-2126
Practice Address - Country:US
Practice Address - Phone:717-242-3606
Practice Address - Fax:717-242-4341
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-01-13
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPT-016986-L225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist