Doctor Name: | AMANDA E CHANEY |
NPI Number: | 1114258621 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | L.M.T |
License Number: | 15564 |
Business Practice Address: | 8600 Sw Salish Ln Suite One Wilsonville, OR - 970709632 |
Business Phone Number: | 5036823811 |
Business Fax Number: | |
Mailing Address: | 13750 Sw Far Vista Dr, BEAVERTON |
State: | OR |
Postal Code: | 970050991 |
Phone Number: | 5416808386 |
Fax Number: | |
NPI Enumeration Date: | 01/22/2010 |
NPI Last Update Date: | 01/22/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225700000X |
License Number: | 15564 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | OR |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Massage Therapist |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes. |