Individual
MISS AMANDA NICOLE HIGGINS I
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MASSAGE THERAPIST
Contact information
Practice address
65 CLAY ST, MAYFIELD, KY 42066-8013
(270) 556-1305
Mailing address
65 CLAY ST, MAYFIELD, KY 42066-8013
(270) 556-1305
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
266227
KY
Other
Enumeration date
09/06/2021
Last updated
09/06/2021
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