Individual
AMANDA NEWHOUSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3913 W PROSPECT AVE, SUITE LL1, APPLETON, WI 54914-8798
(920) 729-7105
Mailing address
3913 W PROSPECT AVE, SUITE LL1, APPLETON, WI 54914-8798
(920) 729-7105
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
12759-146
WI
Other
Enumeration date
12/15/2014
Last updated
02/06/2015
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