Individual
AMANDA SHAW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MASSAGE THERAPIST
Contact information
Practice address
822 LYNNWOOD DR, LAKE WORTH, FL 33461
(561) 322-0875
Mailing address
822 LYNNWOOD DR, LAKE WORTH, FL 33461
(561) 322-0875
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA90896
FL
Other
Enumeration date
07/01/2019
Last updated
07/01/2019
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