MISS AMANDA MARIE LARUE (NPI# 1073669792) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073669792 |
| Entity Type | Individual |
| Full Name | MISS AMANDA MARIE LARUE |
| Credential | ATC, LAT |
| Practice Address |
800 University Dr Lamkin Activity Center Maryville MO 64468-6015 |
| Mailing Address |
1212 Fox Rd Apt 8 Maryville MO 64468-3356 |
| Practice Telephone | 6605621664 |
| Mailing Telephone | 2142935834 |
| Enumeration Date | 2007-01-26 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2255A2300X |
Specialist/Technologist Specialization: Athletic Trainer |
Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114159100 | Amanda Nicole Larue | Physical Therapy Assistant | 5901 Broken Sound Pkwy Ste 500, Boca Raton, FL 33487-2791 | 2009-08-10 |
| 1447429899 | Amanda C. Larue | Social Worker | 21350 W 153rd St, Olathe, KS 66061-5413 | 2008-02-29 |
| Street Address |
800 UNIVERSITY DR LAMKIN ACTIVITY CENTER |
| City | MARYVILLE |
| State | MO |
| Zip Code | 64468-6015 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124087069 | David Eaton Colt | Specialist/Technologist | 800 University Dr, Lac - 043, Maryville, MO 64468-6015 | 2006-03-20 |
| 1629604996 | Kelly Griffith | Specialist/Technologist | 800 University Dr, Maryville, MO 64468-6015 | 2020-03-19 |
| 1750821260 | Mark Masalskis | Student in an Organized Health Care Education/Training Program | 800 University Dr, Maryville, MO 64468-6015 | 2017-03-02 |
| 1376095463 | Christina Tapps | Specialist/Technologist | 800 University Dr, Northwest Missouri State University Lamkin Center, Maryville, MO 64468-6015 | 2016-10-25 |
| 1821548926 | Lisa Finney | Nurse Practitioner | 800 University Dr, Maryville, MO 64468-6015 | 2016-10-12 |
| 1083164156 | Northwest Mo State University | Clinic/Center | 800 University Dr, Maryville, MO 64468-6015 | 2016-10-12 |
| 1043697899 | Elizabeth Hevern | Specialist/Technologist | 800 University Dr, Maryville, MO 64468-6015 | 2015-04-30 |
| 1477947547 | Logan Michael Wood | Student in an Organized Health Care Education/Training Program | 800 University Dr, Northwest Missouri State University, Maryville, MO 64468-6015 | 2015-03-26 |
| 1376988121 | Matthew Joseph Honerman | Specialist/Technologist | 800 University Dr, Maryville, MO 64468-6015 | 2013-05-07 |
| 1841635877 | Riley Dale Watkins | Specialist/Technologist | 800 University Dr, Maryville, MO 64468-6015 | 2013-05-03 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619315603 | William Sean Prescott | Counselor | 318 North Main, Maryville, MO 64468 | 2013-06-12 |
| 1215284617 | Janet Luzmoor | Counselor | 109 East Summit Dr, Maryville, MO 64468 | 2012-08-06 |
| 1629336177 | Kristi Renee White | Social Worker | 423 N Market St, Maryville, MO 64468 | 2012-05-02 |
| 1285942474 | Kyle William Bowers | Physical Therapist | 2016 South Main Street, Maryville, MO 64468 | 2010-09-22 |
| 1861600660 | Debra Anne Hopkins | Physical Therapist | 2416 South Main St, Maryville, MO 64468 | 2007-05-18 |
| 1023235975 | Susan Kay Grispino | Occupational Therapist | Area Cooperative for Educational Support, 1429 South Munn Avenue, Maryville, MO 64468 | 2007-04-20 |
| 1760542567 | North West Missouri State University | Clinic/Center | 800 University Drive, Maryville, MO 64468 | 2006-12-11 |
| 1528154994 | Bruce E Twaddle | Dentist | 231 Summit Drive, Maryville, MO 64468 | 2006-10-05 |
| 1669588075 | Stanley David Snyder | Dentist | 2825 South Main Street, Maryville, MO 64468 | 2006-08-21 |
| 1710906896 | Ileen Richey-arellin | Social Worker | 109 E Summit Drive, Family Guidance Center, Maryville, MO 64468 | 2006-07-19 |
| Find all providers in zip 64468 | ||||
| Taxonomy Code | 2255A2300X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Specialist/Technologist |
| Specialization | Athletic Trainer |
| Athletic trainers are allied health care professionals who work in consultation with or under the direction of physicians, and specialize in the prevention, assessment, treatment and rehabilitation of injuries and illnesses. Currently, the entry-level employment requirements are a bachelor’s degree with a major in athletic training from an accredited university or college. A majority of athletic trainers hold advanced degrees. National board certification is generally required as a condition of state licensure and employment. Most states regulate athletic trainers, and they practice within the scope of that license or regulation. Clinical practice includes emergency care, rehabilitation, reconditioning, therapeutic exercise, wellness programs, exercise physiology, kinesiology, biomechanics, nutrition, psychology and health care administration. |
| Notes: Source: National Athletic Trainers’ Association (www.NATA.org) [1/1/2006: modified definition, modified source] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790340693 | Cody Moon | Specialist/Technologist | 515 W 11th St Apt 16, Maryville, MO 64468-3509 | 2019-05-06 |
| 1770029233 | Amanda Joyce Cagle | Specialist/Technologist | 1410 Sevierville Rd, Maryville, TN 37804-5108 | 2017-01-09 |
| 1588032825 | Paul Snow | Specialist/Technologist | 1503 S Munn Ave, Maryville, MO 64468-2757 | 2015-09-03 |
| 1982814554 | Kelly Leann Quinlin | Specialist/Technologist | Northwest Missouri State University, 800 University Drive, Lac 45, Maryville, MO 64468-2712 | 2007-05-23 |
| 1942264676 | Peggy L Bratt | Specialist/Technologist | 1412 Sevierville Rd, Maryville, TN 37804-5108 | 2006-04-12 |
| 1124087069 | David Eaton Colt | Specialist/Technologist | 800 University Dr, Lac - 043, Maryville, MO 64468-6015 | 2006-03-20 |
| 1629604996 | Kelly Griffith | Specialist/Technologist | 800 University Dr, Maryville, MO 64468-6015 | 2020-03-19 |
| 1184139545 | David Montes | Specialist/Technologist | 502 E Lamar Alexander Pkwy, Maryville, TN 37804-5907 | 2017-12-07 |
| 1548704950 | Sheena Macgowan | Specialist/Technologist | 502 E Lamar Alexander Pkwy, Maryville, TN 37804-5907 | 2016-12-05 |
| 1376095463 | Christina Tapps | Specialist/Technologist | 800 University Dr, Northwest Missouri State University Lamkin Center, Maryville, MO 64468-6015 | 2016-10-25 |
| Find all providers in MARYVILLE | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.