Individual provider · Type 1 NPI

Amanda Lynn Ballard, LMP

Massage Therapist · Port Orchard, WA

NPI number 1801112362 Active

Practice location

5710 SW Daisy St
Port Orchard, WA 98367-7350

Call (360) 649-2461 Map

Mailing address

PO Box 358
Burley, WA 98322-0358

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000XMA 60137523 (WA)

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 1801112362

Amanda Lynn Ballard, LMP's National Provider Identifier is 1801112362, issued on Apr 8, 2010. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Port Orchard, WA. The record was last updated on Apr 8, 2010.