Individual
AMY METIVA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4854 WASHTENAW AVE, ANN ARBOR, MI 48108-3441
(989) 324-8784
Mailing address
4854 WASHTENAW AVE, ANN ARBOR, MI 48108-3441
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
2601000964
MI
Other
Enumeration date
06/14/2019
Last updated
06/14/2019
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