Individual
AMANDA L SCHAEFER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA/LMP
Contact information
Practice address
2929 165TH PL SE, BOTHELL, WA 98012
(734) 323-9093
Mailing address
2929 165TH PL SE, BOTHELL, WA 98012
(734) 323-9093
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
P1 60111033
WA
225700000X
Massage Therapist
MA60317301
WA
Other
Enumeration date
12/08/2009
Last updated
04/24/2023
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