IndividualActive
Amanda Donelson, LAT, ATC
NPI 1356742704 · Athletic Trainer · Indianapolis, IN
Provider details
- NPI number
- 1356742704
- Entity type
- Individual
- Primary specialty
- Athletic TrainerRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- LAT, ATC
- Sex
- Female
- Sole proprietor
- No
- License
- 36002083A (IN)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
7166 Constitution Dr Apt a
Indianapolis, IN 46256-2409
Phone: (765) 432-8857
Approximate (ZIP-level) locationGet directions
Mailing address
7166 Constitution Dr Apt a
Indianapolis, IN 46256-2409
Registry dates
- Enumerated
- 2014-09-04
- Last updated
- 2014-09-04
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.