Individual
AMANDA LEIGH PHILLIPS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
1925 GOLDEN HEIGHTS RD STE 108, FORT WORTH, TX 76177-7074
(817) 266-4922
Mailing address
30 RANCHO DR N, FORT WORTH, TX 76244-5005
(817) 266-4922
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT127746
TX
Other
Enumeration date
01/20/2020
Last updated
01/21/2020
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