Individual
AVERY NICOLE MANBECK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, LAT, ATC, OTC
Contact information
Practice address
2001 PEACHTREE RD NE STE 705, ATLANTA, GA 30309-1476
(571) 442-0320
Mailing address
2001 PEACHTREE RD NE STE 705, ATLANTA, GA 30309-1476
(571) 442-0320
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
09/23/2021
Last updated
12/08/2023
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