Individual
AMY KREBS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATS
Contact information
Practice address
1400 OLD TAMAH RD, IRMO, SC 29063-9799
(608) 698-8191
Mailing address
104 CATAWBA CIR, COLUMBIA, SC 29201-5265
(608) 698-8191
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
2389
SC
Other
Enumeration date
07/23/2018
Last updated
07/23/2018
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