Individual
AMANDA SKORUPSKI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
1049 DANIEL WALLACE RD NW, TOWNSEND, GA 31331-7408
(912) 230-6490
Mailing address
PO BOX 734, DARIEN, GA 31305-0734
(912) 261-1017
(912) 554-3980
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT008258
GA
Other
Enumeration date
11/05/2015
Last updated
05/26/2016
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