Individual
AMANDA LOVING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5411 S US HIGHWAY 421, GRAYS KNOB, KY 40829-8315
(606) 505-8566
Mailing address
PO BOX 216, GRAYS KNOB, KY 40829-0216
(606) 505-8566
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
12/14/2020
Last updated
12/14/2020
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