Individual provider · Type 1 NPI
Amanda Rae Hendricks, LMT
Massage Therapist · Condon, OR
NPI number
1366921553
Active
Practice location
601 E. Court St
Condon, OR 97823
Mailing address
P.o. Box 5, 601 E. Court St
Condon, OR 97823
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Massage Therapist Primary | 225700000X | LMT023660 (OR) |
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.
About NPI 1366921553
Amanda Rae Hendricks, LMT's National Provider Identifier is 1366921553, issued on Aug 9, 2018. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Condon, OR. The record was last updated on Aug 9, 2018.