Whalio Doctors

NPI 1043447923

Amanda Virginia Burlison, LMTMMP

Practitioner Massage Therapist Mount Juliet, TN

Practice location

Address
1032 Willoughby Station Blvd, Mount Juliet, TN 37122-7581
Phone
(775) 848-6603
Fax
(877) 711-6053

Registered specialties (2)

Massage Therapist Primary
Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225700000X Licence 8828 (TN)
Massage Therapist
Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225700000X Licence 187 (NV)

Registry record

NPI
1043447923
Entity type
Individual
Sex (as registered)
Female
NPI issued
17 Jun 2009
Record last updated
13 Feb 2012

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.