Individual
MS. AMBER KIPHART
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
39000 MENTOR AVE, WILLOUGHBY, OH 44094-8095
(440) 953-3950
Mailing address
39000 MENTOR AVE, WILLOUGHBY, OH 44094-8095
(440) 953-3950
(440) 953-3953
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
33.023268
OH
Other
Enumeration date
12/21/2020
Last updated
12/21/2020
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