Individual
AMANDA BAKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
155 S TUTTLE RD, SPRINGFIELD, OH 45505-1560
(937) 717-6436
Mailing address
112 E 2ND ST, ARCANUM, OH 45304-1234
(937) 417-2680
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
33.020754
OH
Other
Enumeration date
10/29/2019
Last updated
10/29/2019
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