AMANDA NYSTROM

FAYETTEVILLE, NC
NPI1730666850
Former NameAMANDA NYSTROM
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: FL  AL5844)
Enumeration Date2018-07-21
Last Update Date2024-09-16
Business Address
AMANDA NYSTROM LAT, ATC
5400 RAMSEY ST
FAYETTEVILLE, NC 28311-1420
Phone number: 910-630-7000
Mailing Address
AMANDA NYSTROM LAT, ATC
174 ALLEGIANCE ST
RAEFORD, NC 28376-6926
Phone number: