Amanda Jean Lightsey (NPI# 1174586432, PAC ID# 3577547231) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICAL THERAPY.
| Nation Provider ID (NPI) | 1174586432 |
| PAC ID by PECOS | 3577547231 |
| Professional Enrollment ID | I20040617001765 |
| Full Name | Amanda Jean Lightsey |
| Address |
2651 Boonville Rd Suite 115 Bryan TX 77808-2334 |
| Gender | F |
| Credential | PT |
| Graduation Year | 2002 |
| Primary Specialty | PHYSICAL THERAPY |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 2651 Boonville Rd, Suite 115, Bryan, TX 77808-2334 |
| Street Address |
2651 BOONVILLE RD SUITE 115 |
| City | BRYAN |
| State | TX |
| Zip | 77808-2334 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Eric C South | Family Medicine | St Joseph Regional Health Center | 2410 Boonville Rd, Bryan, TX 77808-2226 |
| Charity A Karpac | Family Medicine | St Joseph Regional Health Center | 2410 Boonville Rd, Bryan, TX 77808-2226 |
| City | BRYAN |
| Zip Code | 77808 |
| Specialty | PHYSICAL THERAPY |
| City + Specialty | BRYAN + PHYSICAL THERAPY |
Please comment or provide details below to improve the information on Amanda Jean Lightsey.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.