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Amanda Kristan Mirise

DPT

Physical Therapist - Pediatrics

NPI: 1497566624Tyler, Texas, 75702(903) 509-2040Female

About Amanda Kristan Mirise

Amanda Kristan Mirise, DPT, is a female healthcare professional specializing in Physical Therapist - Pediatrics with a focus on Pediatrics, registered under National Provider Identifier (NPI) number 1497566624.

Their primary practice is located at 100 E FERGUSON ST, Tyler, Texas 75702. Patients can reach the office at (903) 509-2040. Amanda Kristan Mirise has been NPI-registered since 2025.

Doctor Details

Identity & Credentials

NPI Number
1497566624
Entity Type
Individual
First Name
Amanda
Last Name
Mirise
Credential
DPT
Gender
Female
Sole Proprietor
Yes
Status
active

Primary Practice Location

Address
100 E FERGUSON ST
City
Tyler
State
Texas
ZIP
75702-5759
Country
United States
Phone
(903) 509-2040

Specialty & Taxonomy

Primary Specialty
Physical Therapist - Pediatrics
Classification
Physical Therapist
Specialization
Pediatrics
Taxonomy Code
2251P0200X

NPI Registration

Enumeration Date
Last Updated
Certification Date

Mailing Address

Address
100 E FERGUSON ST
City
TYLER
State
TX
ZIP
757025759

Medicare Enrollment

Medicare Enrolled
No
Can Order/Refer
No
Telehealth
No
Excluded
No

Frequently Asked Questions

What is Amanda Kristan Mirise's NPI number?
Amanda Kristan Mirise's National Provider Identifier (NPI) is 1497566624. An NPI is a unique 10-digit identification number issued by the Centers for Medicare & Medicaid Services (CMS) to healthcare providers in the United States.
What does Amanda Kristan Mirise specialize in?
Amanda Kristan Mirise specializes in Physical Therapist - Pediatrics.
Where is Amanda Kristan Mirise located?
Amanda Kristan Mirise practices at 100 E FERGUSON ST, Tyler, Texas 75702. You can reach them by phone at (903) 509-2040.
Does Amanda Kristan Mirise accept Medicare?
Based on available data, Amanda Kristan Mirise is not currently enrolled in the Medicare program.
Does Amanda Kristan Mirise offer telehealth or virtual visits?
Amanda Kristan Mirise does not currently offer telehealth services. In-person visits are required at their practice location.

What is an NPI Number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to healthcare providers in the United States by the Centers for Medicare & Medicaid Services (CMS). Required under HIPAA, every healthcare provider who transmits health information electronically must have an NPI. The NPI for Amanda Kristan Mirise is 1497566624.