Individual
MISS AMANDA BROOKE LASSETTER-WHITE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT NCMT
Contact information
Practice address
509 MCCURDY AVE N UNIT 1, RAINSVILLE, AL 35986-4476
(256) 638-2627
(256) 638-2627
Mailing address
PO BOX 2031, RAINSVILLE, AL 35986
(256) 638-2627
(256) 638-2627
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
728
AL
Other
Enumeration date
10/17/2006
Last updated
01/16/2009
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