Individual
AMANDA MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LAT, ATC
Contact information
Practice address
215 MAYNARD LAKE RD, ERWIN, NC 28339-8507
(937) 728-5749
Mailing address
132 W WASHINGTON ST, COATS, NC 27521-8348
(937) 728-5749
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
10/08/2015
Last updated
05/16/2024
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