IndividualActive
Amanda Moran, ATC
NPI 1437397965 · Athletic Trainer · Providence, RI
Provider details
- NPI number
- 1437397965
- Entity type
- Individual
- Primary specialty
- Athletic TrainerRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- ATC
- Sex
- Female
- Sole proprietor
- No
- License
- AT00247 (RI)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
285 Promenade St
Providence, RI 02908-5719
Phone: (401) 459-4008
Approximate (ZIP-level) locationGet directions
Mailing address
23 Kristee Cir
West Warwick, RI 02893-7511
Registry dates
- Enumerated
- 2009-01-21
- Last updated
- 2009-01-21
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.