Individual
MS. AMANDA FAYE OLDS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.M.P.
Contact information
Practice address
4720 N HUSON ST, TACOMA, WA 98407-4419
(253) 343-4941
Mailing address
4720 N HUSON ST, TACOMA, WA 98407-4419
(253) 343-4941
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA60172180
WA
Other
Enumeration date
11/24/2010
Last updated
06/21/2011
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