Individual
AMANDA DEE OLIVER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Taxonomy
Speciality
Code
Description
License number
State
173C00000X
Reflexologist
MT12053
SD
225700000X
Massage Therapist
Primary
MT12053
SD
Other
Enumeration date
01/17/2024
Last updated
01/17/2024
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