Individual
AMANDA POTTS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
3845 MCCOY DR, #105, AURORA, IL 60504-4428
(630) 499-2583
Mailing address
584 DONNA AVE, AURORA, IL 60505-1074
(815) 600-5220
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
227.015437
IL
Other
Enumeration date
07/26/2014
Last updated
07/26/2014
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