Individual
AMANDA ROBERTSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1395 JORDAN ST, SUITE D, NORTH LIBERTY, IA 52317-4759
(319) 774-3811
Mailing address
1395 JORDAN ST, SUITE D, NORTH LIBERTY, IA 52317-4759
(319) 774-3811
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
084467
IA
Other
Enumeration date
10/03/2016
Last updated
10/03/2016
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