Individual
MISS AMANDA RENAE RIES
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
ATC, LAT
Contact information
Practice address
1301 HWY 123, SAN MARCOS, TX 78666-7843
(512) 393-6800
Mailing address
9823 ROYAL HUNT, SAN ANTONIO, TX 78250-3303
(210) 887-9145
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT3284
TX
Other
Enumeration date
04/12/2006
Last updated
07/08/2007
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