Individual
AMANDA LYN COLLINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.M.T.
Contact information
Practice address
1219 SW MAIN BLVD, LAKE CITY, FL 32025-6685
(386) 755-4430
Mailing address
198 NW ARMADILLO LN, LAKE CITY, FL 32055-8539
(513) 702-0755
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA58324
FL
Other
Enumeration date
07/14/2010
Last updated
07/14/2010
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