Individual
AMANDA K HAGER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
611 7TH AVE, SUITE 101, HUNTINGTON, WV 25701-2113
(304) 690-1869
Mailing address
PO BOX 29, SHOALS, WV 25562-0029
(304) 690-1869
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
2005-1913
WV
Other
Enumeration date
05/17/2007
Last updated
07/08/2007
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