Individual
AMANDA LOUISE RIDGEWAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
823 SUMMERCREEK DR, LEWISVILLE, TX 75067-5339
(325) 226-0474
Mailing address
823 SUMMERCREEK DR, LEWISVILLE, TX 75067-5339
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT120531
TX
Other
Enumeration date
10/22/2020
Last updated
10/22/2020
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