Individual
AMANDA LYON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, LAT, ATC
Contact information
Practice address
3870 MONTLAKE BLVD, SEATTLE, WA 98195-0007
(206) 543-2210
Mailing address
2221 NE 46TH ST APT 9, SEATTLE, WA 98105-5757
(828) 442-3985
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
06/17/2021
Last updated
06/17/2021
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