Individual
MISS AMY BROWN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT, PTA, CSCS
Taxonomy
Speciality
Code
Description
License number
State
174H00000X
Health Educator
19726
OR
225100000X
Physical Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
19726
LMT
OR
01
—
7247825326
CERTIFIED STRENGTH & CONDITIONING SPECIALIST
—
01
—
8072
LICENSE #
OR
Enumeration date
08/30/2006
Last updated
10/21/2013
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