Individual
MRS. AMANDA CLAIRE MANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, ATC, LAT, CEAS
Contact information
Practice address
720 N LINCOLN ST, GREENSBURG, IN 47240-1398
(812) 663-1111
(812) 663-1324
Mailing address
434 N LINCOLN ST, GREENSBURG, IN 47240-1749
(219) 765-3320
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
36001531A
IN
Other
Enumeration date
07/17/2019
Last updated
07/17/2019
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