Individual
AMANDA MARIA ORTIZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1221 EVERGREEN PARK DR SW APT E6, OLYMPIA, WA 98502-5985
(414) 688-0331
Mailing address
3317 S 69TH ST, MILWAUKEE, WI 53219-4036
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
14540
WI
225700000X
Massage Therapist
MA60728703
WA
Other
Enumeration date
03/08/2017
Last updated
07/27/2023
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