MRS. AMANDA ANN FULWIDER MA, AT, ATC
NPI 1629445002
Specialist/Technologist - Athletic Trainer in Marysville, OH

Q: What is Amanda Fulwider's NPI number?

The NPI number for Amanda Fulwider is 1629445002. It was assigned to this individual provider in the NPPES registry on September 1, 2015.

Q: What is Amanda Fulwider's specialty?

The primary specialty registered for this NPI is Specialist/Technologist, specializing in Athletic Trainer, with taxonomy code 2255A2300X.

Q: When was this NPI record last updated?

The NPPES record for Amanda Fulwider was last updated on March 29, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since September 01, 2015

120 COLEMANS XING, MARYSVILLE, OH 43040(937) 578-7847(937) 578-7891 Get Directions Write a Review

NPPES record last updated: March 29, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 17, 2018, Mar 1, 2018 (2 updates tracked since 2018).

On this page

About Mrs. Amanda Ann Fulwider Ma, At, Atc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MRS. AMANDA ANN FULWIDER MA, AT, ATC (NPI 1629445002) is an individual athletic trainer provider in Marysville, Ohio, licensed in Ohio (AT006116) and active in the NPI registry since September 2015. She maintains 2 additional practice locations.

NPPES Registry Identity

NPI1629445002

Entity TypeIndividualFemale

Primary Taxonomy2255A2300X

Provider Legal NameMRS. AMANDA ANN FULWIDERCredential: MA, AT, ATC

Location Address120 COLEMANS XINGMarysville, OH 43040-7115

Mailing Address11596 Lafayette Plain City RdPlain City, OH 43064-9010 · (937) 243-9742

Phone(937) 578-7847

Fax(937) 578-7891

Sole ProprietorYes

Enumeration DateSeptember 1, 2015

Last NPPES UpdateMarch 29, 20222 updates tracked since enumeration

NPPES CertifiedMarch 29, 2022

✔ NPI 1629445002 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySpecialist/Technologist · Athletic TrainerRespiratory, Developmental, Rehabilitative and Restorative Service Providers

Taxonomy Code2255A2300X

Licenses✔ Licensed in OH · AT006116✔ Licensed · 2000030605

Definition

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.

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

120 COLEMANS XING, Marysville, OH 43040

Open in Google Maps ↗

Secondary Practice Locations 2

Location 1Central Michigan University Rose Center - Room 145Mount Pleasant, MI 48859-9337 · Phone (937) 243-9742

Location 2115 Collingwood DrMarysville, OH 43040-9337 · Phone (937) 243-9742

Other Identifiers 1

OtherAT006116OH · Athletic Trainer

Other Providers at the Same Location NPPES 13

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JUSTIN DAVID HAMMER OTR/L

Occupational Therapist (Hand)