Individual
AMANDA MARIE RIESTERER
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
ATC, CSCS
Contact information
Practice address
19601 E 8 MILE RD, ST CLAIR SHORES, MI 48080-1655
(586) 771-6084
Mailing address
18467 MESLE ST, ROSEVILLE, MI 48066-4883
(586) 777-6066
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
03/27/2006
Last updated
07/08/2007
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