Individual
AMY J JUSTUS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
363 3RD ST NW, OLD TOWNE SQUARE, WINTER HAVEN, FL 33881-4001
(863) 875-4898
Mailing address
363 3RD ST NW, OLD TOWNE SQUARE, WINTER HAVEN, FL 33881-4001
(863) 875-4898
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA 16659
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
MA16659
LICENSED MASSAGE THERAPIST
FL
Enumeration date
07/04/2009
Last updated
07/04/2009
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