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Contact Information

AMANDA T QUEEN, LMBT
117 RENEE FORD RD
LOCUST, NC28097
 Phone: 704-985-3325
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Massage Therapist

225700000X
Indicates primary specialty

NPI Profile & details for AMANDA T QUEEN · (Female)

NPI Number 1477906063
Status Active
Credentials LMBT
Entity Individual
Enumeration date 07/19/2016
Last updated 05/02/2017 - About 9 years ago
Sole proprietor 1 Yes
Identifiers
  • NC License # 9520
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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