Individual
AMANDA EVERHART
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
21988 GILES RD, GRETNA, NE 68028-4000
(757) 773-7798
Mailing address
21988 GILES RD, OMAHA, NE 68028
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
09/24/2017
Last updated
09/24/2017
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