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Individual

AMANDA DAWN DARRIS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LMT

Contact information

Practice address
309 S JEFFERSON AVE, SPRINGFIELD, MO 65806-2202
(417) 536-0061
Mailing address
427 E CHERRY ST, SPRINGFIELD, MO 65806-3305
(417) 209-0566

Taxonomy

Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
2020020264
MO

Other

Enumeration date
07/10/2023
Last updated
07/10/2023
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