Individual
AMANDA VANDERHEYDEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
206 SW ATLANTA AVE, STUART, FL 34994-2034
(863) 812-7922
Mailing address
3911 NW CINNAMON TREE CIR, 34957, JENSEN BEACH, FL 34957-3640
(863) 812-7922
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA52401
FL
Other
Enumeration date
12/06/2013
Last updated
12/06/2013
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