Individual
AMANDA JO ADAMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LAT/ATC
Contact information
Practice address
2017 W BLACK CREEK VALLEY RD, CRAWFORDSVILLE, IN 47933-8720
(765) 230-7690
Mailing address
2017 W BLACK CREEK VALLEY RD, CRAWFORDSVILLE, IN 47933-8720
(765) 230-7690
Taxonomy
Speciality
Code
Description
License number
State
2083S0010X
Sports Medicine (Preventive Medicine) Physician
Primary
36001309A
IN
Other
Enumeration date
01/11/2022
Last updated
01/11/2022
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