Individual
AMANDA WILLIAMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
2525 UNIVERSITY AVE SE, MINNEAPOLIS, MN 55414-3205
(612) 884-0417
Mailing address
2525 UNIVERSITY AVE SE, MINNEAPOLIS, MN 55414-3205
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
2192
MN
Other
Enumeration date
07/09/2014
Last updated
01/08/2021
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