# AMY D BRYANT

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1194361394
- **Gender:** F
- **Credential:** ATC, LAT

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2255A2300X | Athletic Trainer | 001367 | NY | Yes |

## Other

- **Enumeration date:** 11/22/2019
- **Last updated:** 11/22/2019

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 020002024 | NATABOC | NY |
