Organization
AMANDA BEVERLY LMT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. AMANDA JANE BEVERLY L.M.T. (LICENSED MASSAGE THERAPIST)
(502) 542-1586
Entity
Organization
Contact information
Practice address
1300 E NEW CIRCLE RD, SUITE 160, LEXINGTON, KY 40505
(859) 309-0377
Mailing address
2552 CRUSADERS WAY, LEXINGTON, KY 40509
(502) 542-1586
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
—
—
Other
Enumeration date
03/29/2024
Last updated
03/29/2024
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