Individual
AMANDA SCOTT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
4259 W VISTA AVE, PHOENIX, AZ 85051-7360
(480) 417-1334
Mailing address
4259 W VISTA AVE, PHOENIX, AZ 85051-7360
(480) 417-1334
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
22085
AZ
Other
Enumeration date
11/08/2021
Last updated
11/08/2021
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