Whalio Doctors

NPI 1629445002

Amanda Ann Fulwider, MAATATC

Practitioner Athletic Trainer Marysville, OH

Practice location

Address
120 Colemans Xing, Marysville, OH 43040-7115
Phone
(937) 578-7847
Fax
(937) 578-7891
Mailing address
11596 Lafayette Plain City Rd, Plain City, OH 43064-9010

Registered specialties (3)

Athletic Trainer Primary
Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 2255A2300X Licence AT006116 (OH)
Athletic Trainer
Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 2255A2300X Licence 2000030605
Student in an Organized Health Care Education/Training Program
Student, Health Care Taxonomy 390200000X

Registry record

NPI
1629445002
Entity type
Individual
Sex (as registered)
Female
NPI issued
1 Sep 2015
Record last updated
29 Mar 2022

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.