Individual
AMELIA DURST
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MAT, LAT, ATC
Contact information
Practice address
707 STONO LN, LEXINGTON, VA 24450-2112
(530) 409-6220
Mailing address
707 STONO LN, LEXINGTON, VA 24450-2112
(530) 409-6220
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
08/03/2020
Last updated
08/03/2020
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