Individual
AMANDA LEIGH LUSKY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
1 S GROVE ST, WESTERVILLE, OH 43081-2004
(614) 823-3533
Mailing address
87 LANCELOT LN, WESTERVILLE, OH 43081-2825
(412) 897-0016
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT005221
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
AT005221
LICENSURE
OH
Enumeration date
11/25/2019
Last updated
11/25/2019
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