Individual provider · Type 1 NPI

Amanda Lane Yoachum, LMT

Massage Therapist · Orange Park, FL

NPI number 1720375645 Active

Practice location

155-8 Blanding Blvd.
Orange Park, FL 32073

Call (904) 476-0258 Map

Fax (904) 213-9806

Mailing address

5378 Wandering Trl
Jacksonville, FL 32219-2718

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000XMA50836 (FL)

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 1720375645

Amanda Lane Yoachum, LMT's National Provider Identifier is 1720375645, issued on Jun 29, 2011. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Orange Park, FL. The record was last updated on Jun 29, 2011.