Individual
AMANDA K SIMPSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
1220 MAIN STREET, OURAY, CO 81427-1401
(970) 318-0165
Mailing address
PO BOX 1401, OURAY, CO 81427-1401
(970) 318-0165
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT.17511
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
MT.17511
DORA
CO
Enumeration date
11/04/2020
Last updated
11/04/2020
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