Individual provider · Type 1 NPI
Amanda Dawn Darris, LMT
Massage Therapist · Springfield, MO
NPI number
1063190940
Active
Practice location
309 S Jefferson Ave
Springfield, MO 65806-2202
Mailing address
427 E Cherry St
Springfield, MO 65806-3305
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Massage Therapist Primary | 225700000X | 2020020264 (MO) |
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 1063190940
Amanda Dawn Darris, LMT's National Provider Identifier is 1063190940, issued on Jul 10, 2023. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Springfield, MO. The record was last updated on Jul 10, 2023.