Individual
AMY KATHLEEN SELF
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
100 CENTURY PARK S STE 102, VESTAVIA HILLS, AL 35226-3922
(205) 317-7724
Mailing address
9415 BROOK FOREST CIR, HELENA, AL 35080-3456
(205) 317-7724
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
1485
AL
Other
Enumeration date
07/07/2020
Last updated
07/07/2020
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