Amanda Gayle Bahlman, LMT
Massage Therapist in Leesburg, VA. Individual provider (NPI-1).
NPI number1982303962
StatusActive
Last updated in NPPESFeb 28, 2023
Details
- NPI
- 1982303962
- Entity type
- Individual (NPI-1)
- Name
- Amanda Gayle Bahlman
- Credential
- LMT
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Feb 28, 2023
- Certification date
- Feb 28, 2023
- Last updated
- Feb 28, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225700000X | Massage Therapist | 0019004855 | VA | Yes |
Practice location
128 Balch Springs Cir SeLeesburg, VA 20175-6123
Phone 804-986-1331
Mailing address
128 Balch Springs Cir SeLeesburg, VA 20175-6123
Phone 804-986-1331
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