Individual
MISS AMANDA MARIE ROETHLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
14750 CEDAR AVE, STE 104, APPLE VALLEY, MN 55124-4506
(952) 431-3133
(952) 431-7788
Mailing address
14750 CEDAR AVE, STE 104, APPLE VALLEY, MN 55124-4506
(952) 431-3133
(952) 431-7788
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
—
—
Other
Enumeration date
11/25/2007
Last updated
11/25/2007
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