Individual
AMANDA WATSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LAT, ATC
Contact information
Practice address
1820 WARREN AVE # 89, WINFIELD, KS 67156-1937
(918) 961-1488
Mailing address
9706 KINGSTON LN, NEOSHO, MO 64850-8181
(918) 961-1488
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
2401033
KS
Other
Enumeration date
09/08/2016
Last updated
09/08/2016
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