Individual
LISA NICOLE AMES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LAT, ATC
Contact information
Practice address
398 S 23RD ST, TERRE HAUTE, IN 47803
(812) 462-4396
Mailing address
2401 N 11TH ST, TERRE HAUTE, IN 47804-2320
(812) 585-1394
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
06/11/2018
Last updated
12/23/2021
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