Individual
AMANDA K EDDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC/L
Contact information
Practice address
3019 FAIR ST, POPLAR BLUFF, MO 63901-7044
(573) 714-2981
(573) 778-3958
Mailing address
3019 FAIR ST, POPLAR BLUFF, MO 63901-7044
(573) 714-2981
(573) 778-3958
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
2004001633
MO
Other
Enumeration date
06/13/2012
Last updated
06/13/2012
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