Individual
AMANDA GRIMES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.M.P.
Contact information
Practice address
214 E BIRCH ST, SUITE 5, WALLA WALLA, WA 99362-3043
(509) 440-1494
(509) 769-0999
Mailing address
214 E BIRCH ST, SUITE 5, WALLA WALLA, WA 99362-3043
(509) 440-1494
(509) 769-0999
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA60368164
WA
Other
Enumeration date
05/05/2013
Last updated
02/24/2014
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