National Provider Identifier

Amanda Walters, LMT

Amanda Walters, LMT is listed in the NPPES registry with a primary specialty of Massage Therapist in Clifton Springs, NY and a listed phone number of (315) 246-9022.

NPI 1952665937Clifton Springs, NYMassage Therapist

Profile Overview

NPI
1952665937
Provider Type
Individual
Primary Specialty
Massage Therapist
Enumeration Date
June 25, 2012
Last Updated
June 25, 2012

Practice Location

  • 10 W Main St
  • Clifton Springs, NY 14432-1031

Phone: (315) 246-9022

Mailing Address

  • 998 Pinewood RD
  • Phelps, NY 14532-9790

Specialties

  • Massage Therapist (225700000X)
Full Record
NPI
1952665937
Entity Type
Individual
Last Name
Walters
First Name
Amanda
Credential
LMT
Mailing Street Address
998 Pinewood RD
Mailing City
Phelps
Mailing State
NY
Mailing ZIP Code
14532-9790
Mailing Country
US
Mailing Phone
(315) 246-9022
Practice Street Address
10 W Main St
Practice City
Clifton Springs
Practice State
NY
Practice ZIP Code
14432-1031
Practice Country
US
Practice Phone
(315) 246-9022
Enumeration Date
June 25, 2012
Last Updated
June 25, 2012
Sex
Female
Sole Proprietor
Yes
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Massage Therapist (225700000X)