Individual
MRS. AMANDA JO MESSER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA. MAT
Contact information
Practice address
55 INDIAN LN, MOUNT VERNON, KY 40456-6751
(304) 416-5629
Mailing address
55 INDIAN LN, MOUNT VERNON, KY 40456-6751
(304) 416-5629
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
201237906
KY
Other
Enumeration date
07/26/2024
Last updated
07/26/2024
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