Most Relevant Information
Provider Data
| NPI Number: | 1003024837 |
| Provider Name: | AMANDA K HAGER LMT |
| Entity Type: | Individual |
| Taxonomy Code: | 225700000X |
| Specialty: | Massage Therapist |
| License Number: | 2005-1913 |
Most Important Dates
| Enumeration Date: | 05/17/2007 |
| Last Updated: | 07/08/2007 |
Provider Practice Location
611 7TH AVE
SUITE 101
HUNTINGTON
WV
257012113
Practice Location Phone/Fax
| Phone: | 3046901869 |
| Fax: |
Provider Mailing Location
PO BOX 29
SHOALS
WV
255620029
Provider Mailing Phone/Fax
| Phone: | 3046901869 |
| Fax: |