Most Relevant Information
Provider Data
| NPI Number: | 1003466962 |
| Provider Name: | AMANDA RICHARDSON LMT |
| Entity Type: | Individual |
| Taxonomy Code: | 225700000X |
| Specialty: | Massage Therapist |
| License Number: | 25028 |
Most Important Dates
| Enumeration Date: | 09/12/2019 |
| Last Updated: | 09/12/2019 |
Provider Practice Location
1375 PEARL ST
EUGENE
OR
974013523
Practice Location Phone/Fax
| Phone: | 5416833377 |
| Fax: |
Provider Mailing Location
2624 FRIENDLY ST
EUGENE
OR
974052253
Provider Mailing Phone/Fax
| Phone: | 9099216758 |
| Fax: |