Individual
AMANDA S EVERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMP
Contact information
Practice address
4519 SE MILE HILL DR, SUITE A, PORT ORCHARD, WA 98366-3909
(360) 871-5200
(360) 871-5350
Mailing address
PO BOX 525, PORT ORCHARD, WA 98366-0525
(360) 871-5200
(360) 871-5350
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA00014530
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0169804
LABOR AND INDUSTRIES
WA
01
—
91-1180427-08
KPS
WA
Enumeration date
01/29/2007
Last updated
07/08/2007
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