Individual
AMANDA ZILLIKEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
200 W 1ST ST STE 301&302, FARMINGTON, MO 63640-2528
(636) 495-5375
Mailing address
629 MAPLE VALLEY DR STE 53, FARMINGTON, MO 63640-1993
(636) 258-2105
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
2025010543
MO
Other
Enumeration date
07/09/2025
Last updated
07/09/2025
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