Individual
MRS. AMANDA NECKLAUS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
624 E WILLOW ST, SCOTTSBORO, AL 35768-2004
(125) 659-9279
Mailing address
624 E WILLOW ST, SCOTTSBORO, AL 35768-2004
(125) 659-9279
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
2184
AL
Other
Enumeration date
07/29/2009
Last updated
07/29/2009
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