Individual
AMANDA RICHARDSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
1375 PEARL ST, EUGENE, OR 97401-3523
(541) 683-3377
Mailing address
2624 FRIENDLY ST, EUGENE, OR 97405-2253
(909) 921-6758
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
25028
OR
Other
Enumeration date
09/12/2019
Last updated
09/12/2019
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