Individual
AMANDA POLING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2073 W BEECHWOOD BLVD, BITELY, MI 49309-9607
(616) 676-6054
Mailing address
2073 W BEECHWOOD BLVD, BITELY, MI 49309-9607
(616) 676-6054
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
—
—
Other
Enumeration date
10/26/2018
Last updated
10/26/2018
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