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Amanda Gail Stephenson, L.M.T

Massage Therapist in Princeton, WV. Individual provider (NPI-1).

NPI number1124339486
StatusActive
Last updated in NPPESJul 1, 2010

Details

NPI
1124339486
Entity type
Individual (NPI-1)
Name
Ms. Amanda Gail Stephenson
Credential
L.M.T
Sex
Female
Sole proprietor
Yes
Enumeration date
Jul 1, 2010
Last updated
Jul 1, 2010

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
225700000X Massage Therapist20102705WVYes

Practice location

463d Old Bluefield Rd
Princeton, WV 24740-8927

Phone 304-952-2942

Mailing address

463d Old Bluefield Rd
Princeton, WV 24740-8927

Phone 304-952-2942

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