IndividualActive
Amanda Eddy, ATC/L
NPI 1386906535 · Athletic Trainer · Poplar Bluff, MO
Provider details
- NPI number
- 1386906535
- Entity type
- Individual
- Primary specialty
- Athletic TrainerRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- ATC/L
- Sex
- Female
- Sole proprietor
- No
- License
- 2004001633 (MO)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Profile Score
Detailed profile(79/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
14 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
3019 Fair St
Poplar Bluff, MO 63901-7044
Phone: (573) 714-2981
Fax: (573) 778-3958
Street-level locationGet directions
Mailing address
3019 Fair St
Poplar Bluff, MO 63901-7044
Registry dates
- Enumerated
- 2012-06-13
- Last updated
- 2012-06-13
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.