Individual
AMI NICOLE POTTS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
1371 MAPLE ST, SLIDELL, LA 70458-4560
(985) 288-9069
Mailing address
1371 MAPLE ST, SLIDELL, LA 70458-4560
(985) 288-9069
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
4341
LA
Other
Enumeration date
07/02/2013
Last updated
07/02/2013
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