Individual
AMANDA JOY SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
4915 RUE VALLEE APT 89, INDIANAPOLIS, IN 46227-6660
(765) 318-9950
Mailing address
4915 RUE VALLEE APT 89, INDIANAPOLIS, IN 46227-6660
(765) 318-9950
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT21204493
IN
Other
Enumeration date
09/28/2020
Last updated
09/28/2020
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