Individual
MRS. AMANDA LOVETT THOMPSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MMP, LMT,
Contact information
Practice address
1132 1ST ST S, WINTER HAVEN, FL 33880-3903
(863) 294-8468
Mailing address
PO BOX 82, EAGLE LAKE, FL 33839-0082
(863) 294-8468
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA34412
FL
Other
Enumeration date
05/07/2007
Last updated
07/08/2007
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