Individual provider · Type 1 NPI
Amanda Tucker Queen, LMBT
Massage Therapist · Locust, NC
NPI number
1477906063
Active
Practice location
117 Renee Ford Rd
Locust, NC 28097
Mailing address
21756 Crest Gold Dr
Locust, NC 28097
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Massage Therapist Primary | 225700000X | 9520 (NC) |
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 1477906063
Amanda Tucker Queen, LMBT's National Provider Identifier is 1477906063, issued on Jul 19, 2016. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Locust, NC. The record was last updated on May 2, 2017.