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Individual

MS. AMANDA KAY TEMPLETON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LMT

Contact information

Practice address
1421 WAYZATA BLVD, WAYZATA, MN 55391-1939
(952) 473-9637
Mailing address
1421 WAYZATA BLVD, WAYZATA, MN 55391-1939
(952) 473-1850

Taxonomy

Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1407028939
MN
Enumeration date
08/08/2019
Last updated
08/08/2019
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