Individual
AMANDA RENEE SHOCKLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT CLT
Contact information
Practice address
724 E IVY DR, SEAFORD, DE 19973-1341
(302) 258-3309
Mailing address
724 E IVY DR, SEAFORD, DE 19973-1341
(302) 258-3309
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT-0015391
DE
Other
Enumeration date
03/12/2026
Last updated
03/12/2026
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