Individual
MRS. AMANDA VIRGINIA BURLISON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT, MMP
Contact information
Practice address
1032 WILLOUGHBY STATION BLVD, MOUNT JULIET, TN 37122-7581
(775) 848-6603
(877) 711-6053
Mailing address
1032 WILLOUGHBY STATION BLVD, MOUNT JULIET, TN 37122-7581
(775) 848-6603
(877) 711-6053
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
187
NV
225700000X
Massage Therapist
Primary
8828
TN
Other
Enumeration date
06/17/2009
Last updated
02/13/2012
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