Individual
MRS. AMANDA HARBAUGH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC/LAT
Contact information
Practice address
700 E CLEVELAND AVE, MONETT, MO 65708-1436
(417) 236-2480
Mailing address
1005 9TH ST, APT. B, MONETT, MO 65708-1242
(417) 872-8053
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
2011024429
MO
Other
Enumeration date
08/11/2014
Last updated
08/11/2014
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