Individual
MRS. AMANDA KAY HARDIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
1948 S GLENSTONE AVE STE 104, SPRINGFIELD, MO 65804-2305
(417) 812-5031
Mailing address
1948 S GLENSTONE AVE STE 104, SPRINGFIELD, MO 65804-2305
(417) 812-5031
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
2018015048
MO
Other
Enumeration date
01/28/2019
Last updated
01/28/2019
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