Individual provider · NPI-1

Amanda Adams, ATC, LAT

Specialist/Technologist, Athletic Trainer · Indianapolis, IN

NPI number1376943787
StatusActive
Last updated in NPPESSep 4, 2014

Details

NPI
1376943787
Entity type
Individual (NPI-1)
Name
Amanda Adams
Credential
ATC, LAT
Sex
Female
Sole proprietor
No
Enumeration date
Sep 4, 2014
Last updated
Sep 4, 2014

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
2255A2300X Specialist/Technologist, Athletic Trainer36002246AINYes

Practice location

4401 W 52nd St
#603
Indianapolis, IN 46254-1701

Phone 317-387-2578

Mailing address

4026 Senour Rd
Indianapolis, IN 46239-9344

Phone 317-354-5049

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