Individual
AMANDA FORTSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
5656 PRINCESS PL APT E, COLUMBUS, OH 43231-3085
(614) 989-5932
Mailing address
5656 PRINCESS PL APT E, COLUMBUS, OH 43231-3085
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
021380
OH
Other
Enumeration date
10/03/2025
Last updated
10/12/2025
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