Individual
AMANDA JOY GRIMES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
1584 METROPOLITAN BLVD, SUITE 101, TALLAHASSEE, FL 32308-1700
(850) 766-4899
Mailing address
1584 METROPOLITAN BLVD, SUITE 101, TALLAHASSEE, FL 32308-1700
(850) 766-4899
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA51065
FL
Other
Enumeration date
02/01/2008
Last updated
02/01/2008
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