Individual provider · Type 1 NPI

Amanda Diane Berg, L.M.T.

Massage Therapist · Little Rock, AR

NPI number 1366711004 Active

Practice location

1405 N. Pierce St., Suite 210
Little Rock, AR 72207

Call (501) 664-6664 Map

Fax (501) 664-6614

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000X7376 (AR)

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 1366711004

Amanda Diane Berg, L.M.T.'s National Provider Identifier is 1366711004, issued on Dec 27, 2011. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Little Rock, AR. The record was last updated on Dec 27, 2011.