Individual
AMANDA R BURTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
C.M.T.
Contact information
Practice address
259 INDIANA AVE STE 47, VALPARAISO, IN 46383-5573
(219) 299-2628
Mailing address
259 INDIANA AVE STE 47, VALPARAISO, IN 46383-5573
(219) 299-2628
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT21204324
IN
Other
Enumeration date
09/13/2019
Last updated
09/13/2019
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