Individual
AMANDA NOELLE RESCH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
1675 AUGUST RD, NORTH BABYLON, NY 11703-1927
(631) 678-1198
Mailing address
1675 AUGUST RD, NORTH BABYLON, NY 11703-1927
(631) 678-1198
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
012582-01
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
012582-01
NYS BOARD
NY
Enumeration date
11/17/2022
Last updated
11/17/2022
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