Individual
AMANDA ADAMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC, LAT
Contact information
Practice address
4401 W 52ND ST, #603, INDIANAPOLIS, IN 46254-1701
(317) 387-2578
Mailing address
4026 SENOUR RD, INDIANAPOLIS, IN 46239-9344
(317) 354-5049
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
36002246A
IN
Other
Enumeration date
09/04/2014
Last updated
09/04/2014
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