Individual
AMANDA MARIE KNOWLES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PAC
Contact information
Practice address
4570 S EASTERN AVE, SUITE #21, LAS VEGAS, NV 89119-6183
(702) 733-6033
(702) 733-7292
Mailing address
4570 S EASTERN AVE, SUITE #21, LAS VEGAS, NV 89119-6183
(702) 733-6033
(702) 733-7292
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
0506285
NV
2255A2300X
Athletic Trainer
PA1935
NV
363A00000X
Physician Assistant
Primary
PA1935
NV
Other
Enumeration date
01/18/2018
Last updated
04/06/2023
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