Individual
AMANDA RUSSELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSED, ATC
Contact information
Practice address
5 HIGHLAND ST, AMESBURY, MA 01913-2215
(978) 388-4800
Mailing address
5 HIGHLAND ST, AMESBURY, MA 01913-2215
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
2050
MA
Other
Enumeration date
04/18/2014
Last updated
04/18/2014
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