Individual
AMANDA RAINEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA60114028
Contact information
Practice address
1307 VIOLET ST SE, LACEY, WA 98503-5710
(360) 459-7800
Mailing address
12514 EDGEMERE DR. SW., LAKEWOOD, WA 98499
(360) 459-7800
Taxonomy
Speciality
Code
Description
License number
State
172M00000X
Mechanotherapist
Primary
MA60114028
WA
Other
Enumeration date
09/25/2009
Last updated
08/04/2017
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