Individual
ALEXIS J AMATO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LAT, ATC
Contact information
Practice address
600 S PINE ST, DERIDDER, LA 70634-4942
(337) 396-2071
Mailing address
1439 HIGHWAY 3226, DERIDDER, LA 70634-9131
(985) 517-0383
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
303132
LA
Other
Enumeration date
12/19/2017
Last updated
12/19/2017
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