MISS Amanda K Blankenship, LMP, NCTMB

NPI #1013120435 in Moscow, Idaho

Provider Information

NPI Number: 1013120435
Entity Type: Individual
Name: MISS Amanda K Blankenship, LMP, NCTMB
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Massage Therapist
Credential: LMP, NCTMB
Enumeration Date: May 8, 2007
Last Updated: Jul 8, 2007

Practice Location

Address: 700 S MAIN ST
Address 2: GRITMAN MEDICAL CENTER
City: Moscow
State: Idaho
ZIP Code: 83843-3056
Phone: (208) 883-6544

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Massage Therapist	225700000X	Primary

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