Individual
AMANDA MICHELLE COLEMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2712 WAKEFIELD DR APT H, JONESBORO, AR 72404-7793
(870) 926-5749
Mailing address
2712 WAKEFIELD DR APT H, JONESBORO, AR 72404-7793
(870) 926-5749
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
993239
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
993239
NATA MEMBER
AR
Enumeration date
01/03/2007
Last updated
07/08/2007
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