Eddy, Amanda K

Eddy, Amanda K is an individual health care provider with primary practice located at 3019 Fair St , Poplar Bluff MO 63901-7044. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer, which is considered as her primary health care specialty. Eddy, Amanda K can be contacted via phone (573) 714-2981.

Contact Information

Primary practice address
3019 Fair St Poplar Bluff MO 63901-7044
Phone: (573) 714-2981
Fax: (573) 778-3958
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer 2255A2300X 2004001633 Missouri

Profile Details

NPI number 1386906535
LBN Legal business name Eddy, Amanda K
Credentials ATC/L
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 13th, 2012
Last updated Jun 13th, 2012 - about 12 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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