Individual
MRS. AMY KRISTINE UTENDORF
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
1331 E 4TH ST, OTTAWA, OH 45875-1545
(419) 523-9337
(419) 523-6323
Mailing address
11196 FAIRVIEW DR, OTTAWA, OH 45875-9732
(419) 523-3783
(419) 523-6323
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT-644
OH
Other
Enumeration date
03/07/2007
Last updated
07/08/2007
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