MISS Amanda Marie Larue, ATC, LAT

NPI #1073669792 in Maryville, Missouri

Provider Information

NPI Number
1073669792
Entity Type
Individual
Name
MISS Amanda Marie Larue, ATC, LAT
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Specialist/Technologist - Athletic Trainer
Credential
ATC, LAT
Enumeration Date
Jan 26, 2007
Last Updated
Jul 8, 2007

Practice Location

Address
800 UNIVERSITY DR
Address 2
LAMKIN ACTIVITY CENTER
ZIP Code
64468-6015
Phone
(660) 562-1664

Specialties & Taxonomy Codes

Specialty
Specialist/Technologist - Athletic TrainerAthletic Trainer

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