Provider Demographics
NPI:1386770824
Name:MEADOWS, AMY LENE' (MS, ATC, CSCS)
Entity type:Individual
Prefix:
First Name:AMY
Middle Name:LENE'
Last Name:MEADOWS
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Gender:F
Credentials:MS, ATC, CSCS
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Mailing Address - Street 1:1 MEADOW DR
Mailing Address - Street 2:
Mailing Address - City:HURRICANE
Mailing Address - State:WV
Mailing Address - Zip Code:25526-1059
Mailing Address - Country:US
Mailing Address - Phone:304-562-2681
Mailing Address - Fax:
Practice Address - Street 1:200 TRACY WAY
Practice Address - Street 2:NORTHGATE BUSINESS PARK
Practice Address - City:CHARLESTON
Practice Address - State:WV
Practice Address - Zip Code:25311-1258
Practice Address - Country:US
Practice Address - Phone:304-388-4900
Practice Address - Fax:304-388-4910
Is Sole Proprietor?:No
Enumeration Date:2007-02-26
Last Update Date:2007-07-08
Deactivation Date:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer