Individual
AMANDA JANE IVERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMT 70006694
Contact information
Practice address
617 N 2ND ST, TACOMA, WA 98403-2232
(612) 644-6002
Mailing address
617 N 2ND ST, TACOMA, WA 98403-2232
(612) 644-6002
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
70006694
WA
Other
Enumeration date
07/14/2025
Last updated
07/14/2025
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