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Individual

AMY PAYNE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LMT, CMT, BCTMB

Contact information

Practice address
301 HIGHWAY 50, STATELINE, NV 89449
(530) 416-0440
Mailing address
1143 LONE INDIAN TRL, SOUTH LAKE TAHOE, CA 96150-4521
(530) 416-0440

Taxonomy

Speciality
Code
Description
License number
State
225700000X
Massage Therapist
34542
CA
225700000X
Massage Therapist
Primary
5714
NV

Other

Enumeration date
09/16/2015
Last updated
09/16/2015
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