Individual provider · Type 1 NPI

Amanda Virginia Burlison, LMT, MMP

Massage Therapist · Mount Juliet, TN

NPI number 1043447923 Active

Practice location

1032 Willoughby Station Blvd
Mount Juliet, TN 37122-7581

Fax (877) 711-6053

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist 225700000X187 (NV)
Massage Therapist Primary 225700000X8828 (TN)

Massage Therapist: 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.

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About NPI 1043447923

Amanda Virginia Burlison, LMT, MMP's National Provider Identifier is 1043447923, issued on Jun 17, 2009. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Mount Juliet, TN. The record was last updated on Feb 13, 2012.