Individual
AMANDA ANN DEWAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4 ENTERPRISE AVE NE, ISANTI, MN 55040-6813
(763) 552-6161
(763) 237-3254
Mailing address
4 ENTERPRISE AVE NE, ISANTI, MN 55040-6813
(763) 552-6161
(763) 237-3254
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
225700000X
Massage Therapist
—
—
Other
Enumeration date
06/09/2011
Last updated
03/24/2020
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