Individual
AMANDA RAINES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1643 E HANNA AVE, INDIANAPOLIS, IN 46227-3655
(317) 788-3437
Mailing address
15 S CREEDMOOR WAY, ANDERSON, IN 46011-9019
(765) 602-2298
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
06/07/2019
Last updated
06/07/2019
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