Most Relevant Information
Provider Data
| NPI Number: | 1003417379 |
| Provider Name: | AMANDA R DEOWDAT |
| Entity Type: | Individual |
| Taxonomy Code: | 225700000X |
| Specialty: | Massage Therapist |
| License Number: |
Most Important Dates
| Enumeration Date: | 11/04/2020 |
| Last Updated: | 11/04/2020 |
Provider Practice Location
7515 LYNDALE AVE S
RICHFIELD
MN
554234091
Practice Location Phone/Fax
| Phone: | 6512691899 |
| Fax: |
Provider Mailing Location
7515 LYNDALE AVE S
RICHFIELD
MN
554234091
Provider Mailing Phone/Fax
| Phone: | 6512691899 |
| Fax: |