Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MRS. AMANDA ANN FULWIDER, MA, AT, ATC
Active Sole ProprietorMRS. AMANDA ANN FULWIDER, MA, AT, ATC is a Athletic Trainer healthcare provider located in MARYSVILLE, Ohio. NPI 1629445002 is currently active in the NPPES registry. Verify at CMS.
Athletic Trainer · MARYSVILLE, OH
Registration Details
- NPI Number
- 1629445002
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Sep 1, 2015 (10.915188181995 yrs)
- Last Updated
- Mar 29, 2022
- Licenses
-
2000030605AT006116 (OH)
- Sole Proprietor
- Yes
Practice Information
- Address
-
120 COLEMANS XINGMARYSVILLE, OH, 430407115Browse OH providers · Browse ZIP 43040
- Phone
- 9375787847
- Fax
- 9375787891
- Primary Specialty
-
Athletic Trainer
2255A2300X
- Additional Specialty
- Student (Health Education/Training)
- Additional Specialty
- Athletic Trainer
Other Athletic Trainer Providers in MARYSVILLE, OH
| Name | Credential | NPI |
|---|---|---|
| KATHERINE R ROECKNER | ATC | 1790998946 |
| KEITH A TEBBE | MS, ATC | 1003149345 |
| ASHLEY NICOLE HARDBARGER | MS, AT | 1952658874 |
| TYLER PATTON | MS, ATC | 1528465168 |
| KAITLYN BROWN | ATC | 1821454885 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.