Individual
AMANDA LYNN ALBERTSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MASSAGE THERAPIST
Contact information
Practice address
187 STATELINE RD E STE 20, SOUTHAVEN, MS 38671-1702
(901) 503-4911
Mailing address
187 STATELINE RD E STE 20, SOUTHAVEN, MS 38671-1702
(901) 503-4911
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
12923
TN
225700000X
Massage Therapist
2524
MS
Other
Enumeration date
05/26/2025
Last updated
05/26/2025
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