Sullivan, Amanda Leigh

Sullivan, Amanda Leigh is an individual health care provider with primary practice located at 8229 Clayton Rd Suite 204, Saint Louis MO 63117-1155. 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. Sullivan, Amanda Leigh can be contacted via phone (314) 721-7325.

Contact Information

Primary practice address
8229 Clayton Rd Suite 204 Saint Louis MO 63117-1155
Phone: (314) 721-7325
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer 2255A2300X 2004020472 Missouri
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer 2255A2300X 096-001527 Illinois

Profile Details

NPI number 1730141151
LBN Legal business name Sullivan, Amanda Leigh
Credentials MS, ATC
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 3rd, 2006
Last updated Jun 9th, 2011 - about 15 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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