Individual
AMANDA LYNN DOYLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
34 DEER CREEK DR, FORT GRATIOT, MI 48059-3647
(765) 421-1745
Mailing address
34 DEER CREEK DR, FORT GRATIOT, MI 48059-3647
(765) 421-1745
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
7501009537
MI
Other
Enumeration date
12/11/2019
Last updated
12/11/2019
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