Individual
AMANDA DENMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
14719 W GRAND AVE BLDG B, SURPRISE, AZ 85374-7203
(623) 471-9355
Mailing address
PO BOX 462, BUCKEYE, AZ 85326-0035
(602) 350-0707
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT-0455P
AZ
Other
Enumeration date
05/19/2021
Last updated
05/19/2021
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