Individual
AMANDA LIN STEVENS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
RR 1 BOX 315P, SINKS GROVE, WV 24976-9385
(813) 763-0115
Mailing address
RR 1 BOX 315P, SINKS GROVE, WV 24976-9385
(813) 763-0115
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
2009-2543
WV
Other
Enumeration date
05/13/2010
Last updated
05/13/2010
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