Individual
AMANDA MARSHALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ATC, LAT
Contact information
Practice address
1670 175TH ST, HAMMOND, IN 46324-3132
(219) 616-8988
Mailing address
705 E 8TH ST, HOBART, IN 46342-5213
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
36002277A
IN
Other
Enumeration date
08/20/2014
Last updated
08/20/2014
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