Doctor Name: | AMANDA MARLENE YAGER |
NPI Number: | 1790029189 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | C.M.T |
License Number: | |
Business Practice Address: | 401 Dewey St Foley, MN - 563298406 |
Business Phone Number: | 3209687413 |
Business Fax Number: | |
Mailing Address: | 710 24 1/2 Ave Ne, SAUK RAPIDS |
State: | MN |
Postal Code: | 563799582 |
Phone Number: | 8477219746 |
Fax Number: | |
NPI Enumeration Date: | 11/26/2012 |
NPI Last Update Date: | 11/26/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225700000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MN |
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. |