License holder summary

Amanda M Shively is a Physical Therapy Committee - Physical Therapist Assistant licensed to practice in Indiana. The address on file for Amanda M Shively is Fort Wayne IN 46815. This licensed professional license is current. The license was granted 08/18/2003 and expired on 06/30/2016.

Indiana

Professional Licensing Agency

Amanda M Shively
Physical Therapy Committee - Physical Therapist Assistant
License number
06003103A
Date granted
08/18/2003
Date expires
06/30/2016
Class
Physical Therapy Committee - Physical Therapist Assistant
Status
Active
Address
Fort Wayne IN 46815
indianalicensing.org
ID 8362739
LAST UPDATED 2024-02-23 07:29:03 UTC

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