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Amanda Longan
Massage Therapist in Shelton, Washington
NPI 1578931218

Amanda Longan is a Massage Therapist based in Shelton, WA. Amanda Longan practices in Shelton, WA. The NPI Number for Amanda Longan is 1578931218 and holds a License No. MA60568438 (Washington).

The current practice location address for Amanda Longan is 2236 Callanan St, Shelton, WA and can be reached out via phone at 360-490-0498.

Location: 2236 Callanan St, Shelton, WA, 98584-1904
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1578931218
Provider Name
Amanda Longan
Credential
Provider Entity Type
Individual
Gender
Female
Address
2236 Callanan St, Shelton, WA, 98584-1904
Phone Number
360-490-0498
Fax Number
Provider Enumeration Date
09/11/2015
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
2236 Callanan St
City
Shelton
State
Washington
Zip
98584-1904
Phone Number
360-490-0498
Fax Number
person
Provider Business Mailing Address Details
Address
2236 Callanan St
City
Shelton
State
Washington
Zip
98584-1904
Phone Number
360-490-0498
Fax Number
person
Provider's Taxonomy Details 1
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification
Massage Therapist
Speciality
-
Taxonomy
225700000X
License No.
MA60568438 (Washington)
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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