Doctor Name: | MRS. AMY MARIE MCNEAL |
NPI Number: | 1659683076 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | A.A.S.L.M.T |
License Number: | MA56347 |
Business Practice Address: | 28811 S. Tamiami Trail Unit 13-14 Bonita Springs, FL - 34134 |
Business Phone Number: | 2399485555 |
Business Fax Number: | 2399483325 |
Mailing Address: | Po Box 1916, BONITA SPRINGS |
State: | FL |
Postal Code: | 34133 |
Phone Number: | 6155562812 |
Fax Number: | 2394981256 |
NPI Enumeration Date: | 07/14/2010 |
NPI Last Update Date: | 07/14/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225700000X |
License Number: | MA56347 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | FL |
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. |