Amethyst Moriah Crawford, LAT, ATC
Specialist/Technologist, Athletic Trainer in Afton, TN. Individual provider (NPI-1).
NPI number1669956728
StatusActive
Last updated in NPPESDec 30, 2019
Details
- NPI
- 1669956728
- Entity type
- Individual (NPI-1)
- Name
- Amethyst Moriah Crawford
- Credential
- LAT, ATC
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Sep 24, 2018
- Certification date
- Dec 30, 2019
- Last updated
- Dec 30, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2255A2300X | Specialist/Technologist, Athletic Trainer | 0000002593 | TN | Yes |
Practice location
2515 Brittontown RdAfton, TN 37616-3951
Phone 423-525-1959
Mailing address
2515 Brittontown RdAfton, TN 37616-3951
Phone 423-525-7616
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