MISS Amanda Jeanne Wacker

NPI #1114194172 in Savage, Minnesota

Provider Information

NPI Number: 1114194172
Entity Type: Individual
Name: MISS Amanda Jeanne Wacker
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Massage Therapist
Enumeration Date: May 9, 2008
Last Updated: May 9, 2008

Practice Location

Address: 8690 EAGLE CREEK PKWY
City: Savage
State: Minnesota
ZIP Code: 55378-1284
Phone: (952) 465-6853

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Massage Therapist	225700000X	Primary

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