Individual
MS. AMANDA L. TAMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
81590 HIGHWAY 3 S, ST MARIES, ID 83861-7138
(208) 582-0824
Mailing address
81590 HIGHWAY 3 S, ST MARIES, ID 83861-7138
(208) 582-0824
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT-230
ID
Other
Enumeration date
02/28/2007
Last updated
07/08/2007
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