Individual ProviderAmanda Kathryn HilligossPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPractice Address6401 University Ave NE, Fridley, MN 55432-4320(763) 586-5844PECOS EnrollmentBased on the most recent information from CMS, provider Amanda Kathryn Hilligoss does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records yesterday at 12:57 PM.Profile DetailsProvider ID1922361328Provider TypeIndividualFull NameHilligoss, Amanda KathrynCredentialDPTGenderFemaleSole ProprietorNoEnumeration Date6/20/2012Last Updated12/26/2012Contact InformationPractice LocationPractice Address6401 University Ave NE, Fridley, MN 55432-4320Phone(763) 586-5844FaxUnlisted FaxMailing LocationMailing Address6401 University Ave NE, Fridley, MN 55432-4320Phone(763) 586-5844FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode225100000XPrimaryDescriptionPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersLicense2894Minnesota