Amanda Lynn Ballard, LMP
NPI #1801112362 in Port Orchard, Washington
Provider Information
- NPI Number
- 1801112362
- Entity Type
- Individual
- Name
- Amanda Lynn Ballard, LMP
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Massage Therapist
- Credential
- LMP
- Enumeration Date
- Apr 8, 2010
- Last Updated
- Apr 8, 2010
Practice Location
- Address
- 5710 SW DAISY ST
- City
- Port Orchard
- State
- Washington
- ZIP Code
- 98367-7350
- Phone
- (360) 649-2461
Specialties & Taxonomy Codes
| Specialty |
|---|
| Massage Therapist |
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