MRS. Amanda Virginia Burlison, LMT, MMP

NPI #1043447923 in Mount Juliet, Tennessee

Provider Information

NPI Number: 1043447923
Entity Type: Individual
Name: MRS. Amanda Virginia Burlison, LMT, MMP
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Massage Therapist
Credential: LMT, MMP
Enumeration Date: Jun 17, 2009
Last Updated: Feb 13, 2012

Practice Location

Address: 1032 WILLOUGHBY STATION BLVD
City: Mount Juliet
State: Tennessee
ZIP Code: 37122-7581
Phone: (775) 848-6603

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Massage Therapist	225700000X	Primary

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Organizations

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