Amanda Ann Dewar

NPI #1255626073 in Isanti, Minnesota

Provider Information

NPI Number: 1255626073
Entity Type: Individual
Name: Amanda Ann Dewar
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Specialist
Enumeration Date: Jun 9, 2011
Last Updated: Mar 24, 2020

Practice Location

Address: 4 ENTERPRISE AVE NE
City: Isanti
State: Minnesota
ZIP Code: 55040-6813
Phone: (763) 552-6161

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Massage Therapist	225700000X
Specialist	174400000X	Primary

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