Individual
AMANDA GRACE MERRELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC, LAT
Contact information
Practice address
251 N MAIN ST, CEDARVILLE, OH 45314-8564
(513) 377-5408
Mailing address
928 SPRINGBROOK DR, CINCINNATI, OH 45224-1609
(513) 377-5408
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT006292
OH
Other
Enumeration date
01/25/2021
Last updated
01/25/2021
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