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Amanda Green
Massage Therapist in Bridgeport, West Virginia
NPI 1285935965

Amanda Green is a Massage Therapist based in Bridgeport, WV. Amanda Green practices in Bridgeport, WV. The NPI Number for Amanda Green is 1285935965 and holds a License No. (West Virginia).

The current practice location address for Amanda Green is 529 E Main St, Bridgeport, WV and can be reached out via phone at 304-842-4204 and via fax at 304-842-6480.

Location: 529 E Main St, Bridgeport, WV, 26330-1824
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1285935965
Provider Name
Amanda Green
Credential
Provider Entity Type
Individual
Gender
Female
Address
529 E Main St, Bridgeport, WV, 26330-1824
Phone Number
304-842-4204
Fax Number
304-842-6480
Provider Enumeration Date
11/10/2010
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
529 E Main St
City
Bridgeport
State
West Virginia
Zip
26330-1824
Phone Number
304-842-4204
Fax Number
304-842-6480
person
Provider Business Mailing Address Details
Address
529 E Main St
City
Bridgeport
State
West Virginia
Zip
26330-1824
Phone Number
304-842-4204
Fax Number
304-842-6480
person
Provider's Taxonomy Details 1
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification
Massage Therapist
Speciality
-
Taxonomy
225700000X
License No.
()
Definition
An individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes.
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