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Individual

MS. AMANDA LACIA NEWTON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
ATC

Contact information

Practice address
1211 MEDICAL CENTER DR, NASHVILLE, TN 37232-0004
(615) 936-7846
Mailing address
430 LAUREL HILLS DR, MT JULIET, TN 37122-8406
(717) 360-4277

Taxonomy

Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
2096
TN
2255A2300X
Athletic Trainer
2601000218
MI
2255A2300X
Athletic Trainer
RT004141
PA

Other

Enumeration date
10/18/2007
Last updated
11/16/2016
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