Individual
AMANDA ANN MORGAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
2357 NEW HOLT RD, PADUCAH, KY 42001-7404
(270) 554-0090
Mailing address
2357 NEW HOLT RD, PADUCAH, KY 42001-7404
(270) 554-0090
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
106414
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
106414
KY MASSAGE BOARD
KY
01
—
179788
AMTA
KY
Enumeration date
06/04/2020
Last updated
06/04/2020
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