Individual
AMANDA MARTINEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
433 METAIRIE RD, 106, METAIRIE, LA 70005-4333
(504) 835-7554
Mailing address
900 EMERALD FOREST BLVD, APT 8102, COVINGTON, LA 70433-5961
(985) 773-4405
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
7741
LA
Other
Enumeration date
09/23/2014
Last updated
09/23/2014
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