Provider Demographics
NPI:1194541128
Name:BEST, AMANDA B (PERMANENT COLOR TECH)
Entity type:Individual
Prefix:
First Name:AMANDA
Middle Name:B
Last Name:BEST
Suffix:
Gender:F
Credentials:PERMANENT COLOR TECH
Other - Prefix:
Other - First Name:MANDEE
Other - Middle Name:
Other - Last Name:BEST
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:PERMANENT COLOR TECH
Mailing Address - Street 1:416 BOX BUTTE AVE
Mailing Address - Street 2:
Mailing Address - City:ALLIANCE
Mailing Address - State:NE
Mailing Address - Zip Code:69301-3344
Mailing Address - Country:US
Mailing Address - Phone:352-251-8502
Mailing Address - Fax:
Practice Address - Street 1:416 BOX BUTTE AVE
Practice Address - Street 2:
Practice Address - City:ALLIANCE
Practice Address - State:NE
Practice Address - Zip Code:69301-3344
Practice Address - Country:US
Practice Address - Phone:352-251-8502
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-11-25
Last Update Date:2024-11-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE952255A2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer