Doctor Name: | MRS. AMANDA LOVETT THOMPSON |
NPI Number: | 1841403771 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MMP, LMT, |
License Number: | MA34412 |
Business Practice Address: | 1132 1st St S Winter Haven, FL - 338803903 |
Business Phone Number: | 8632948468 |
Business Fax Number: | |
Mailing Address: | Po Box 82, EAGLE LAKE |
State: | FL |
Postal Code: | 338390082 |
Phone Number: | 8632948468 |
Fax Number: | |
NPI Enumeration Date: | 05/07/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225700000X |
License Number: | MA34412 |
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. |