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NPI Profile for AMANDA M CONVERSE I in GRAND HAVEN, MI.
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.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Massage Therapist |
225700000X | |||
Mechanotherapist |
172M00000X |
| NPI # | 1205435161 |
|
| Status | Active | |
| Credentials | LMT (Licensed Massage Therapist) | |
| Entity | Individual | |
| Enumeration date | 10/21/2020 | |
| Last updated | 11/05/2020 - About 6 years ago | |
| Sole proprietor 1 | No | |
| Identifiers |
|
|
| Hospital affiliation(s) | Not Available |
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AMANDA M CONVERSE I
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AMANDA M CONVERSE I, LMT