Amanda K Van Pelt

NPI #1932808359 in Gresham, Oregon

Provider Information

NPI Number: 1932808359
Entity Type: Individual
Name: Amanda K Van Pelt
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Massage Therapist
Enumeration Date: Feb 24, 2023
Last Updated: Feb 24, 2023

Practice Location

Address: 307 NE KELLY AVE
City: Gresham
State: Oregon
ZIP Code: 97030-7455
Phone: (971) 678-3178

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Massage Therapist	225700000X	Primary

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