Individual provider · NPI-1
Amy Suzanne Campbell, ATC
Specialist/Technologist, Athletic Trainer · Aurora, CO
NPI number1376945972
StatusActive
Last updated in NPPESSep 25, 2014
Details
- NPI
- 1376945972
- Entity type
- Individual (NPI-1)
- Name
- Mrs. Amy Suzanne Campbell
- Credential
- ATC
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Sep 25, 2014
- Last updated
- Sep 25, 2014
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2255A2300X | Specialist/Technologist, Athletic Trainer | AT.0000645 | CO | Yes |
Other names
- Amy Suzanne Dwyer (Former Name)
Practice location
11700 E 11th AveAurora, CO 80010-3758
Phone 303-340-1600
Mailing address
11700 E 11th AveAurora, CO 80010-3758
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