Individual
AMANDA BRANNON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT, CLT
Contact information
Practice address
3139 LUKE MOSER RD, COLUMBIA, TN 38401-8234
(931) 215-5425
Mailing address
3139 LUKE MOSER RD, COLUMBIA, TN 38401
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
6015
TN
Other
Enumeration date
12/12/2017
Last updated
12/12/2017
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