Amanda Gwen Lewis, L.M.T

NPI #1063703502 in Melbourne, Florida

Provider Information

NPI Number
1063703502
Entity Type
Individual
Name
Amanda Gwen Lewis, L.M.T
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Massage Therapist
Credential
L.M.T
Enumeration Date
May 2, 2011
Last Updated
May 2, 2011

Practice Location

Address
1900 S HARBOR CITY BLVD
Address 2
SUITE 104
State
Florida
ZIP Code
32901-4749
Phone
(321) 674-9900

Specialties & Taxonomy Codes

Specialty
Massage Therapist

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