Individual
AMANDA COLLINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
4801 34TH STREET, LUBBOCK, TX 79410
(806) 368-2182
(806) 793-4430
Mailing address
5310 47TH ST, LUBBOCK, TX 79414-1518
(806) 793-4430
(806) 793-4430
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MT046258
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
MT046258
LICENSED MASSAGE THERAPIST
TX
Enumeration date
07/16/2010
Last updated
07/16/2010
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