Individual
MISS AMANDA RATLIFF
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA
Contact information
Practice address
2901 W BUSCH BLVD, STE.103, TAMPA, FL 33618-4523
(813) 443-4703
(813) 443-4704
Mailing address
2901 W BUSCH BLVD, STE.103, TAMPA, FL 33618-4523
(813) 443-4703
(813) 443-4704
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA54454
FL
Other
Enumeration date
01/14/2010
Last updated
01/14/2010
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