Amanda Kate Thober, ATC
Individual provider Active NPI Athletic Trainer · Shelton, NE
NPI 1730719196 · NPPES record last updated Jan 23, 2020
Key facts
- NPI
- 1730719196
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Athletic Trainer 2255A2300X
- License
- 080702280 (NE)
- Practice address
- 210 9TH St
Shelton, NE 68876-9639 - Phone
- (308) 293-0320
- NPI assigned
- Jan 23, 2020
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 080702280 | NE | MD | Athletic Trainer |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Athletic Trainer | 2255A2300X | 080702280 | NE | Yes |
Addresses
Primary practice location
210 9TH St
Shelton, NE 68876-9639
Mailing address
915 Verona Ave
Ravenna, NE 68869-1033
Phone (308) 293-0323
Other providers in Shelton, NE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 23, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.