Individual
AMY HUMPHRIES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
100 BELMONT MOUNT HOLLY RD, BELMONT, NC 28012-2702
(704) 461-6215
Mailing address
121 GRIFFIN RD, STANLEY, NC 28164-9633
(704) 572-5509
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
2344
NC
Other
Enumeration date
11/09/2016
Last updated
11/09/2016
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