NPI 1063190940

Amanda Dawn Darris, LMT

Practitioner Massage Therapist Springfield, MO

Practice location

Address: 309 S Jefferson Ave, Springfield, MO 65806-2202
Phone: (417) 536-0061
Mailing address: 427 E Cherry St, Springfield, MO 65806-3305

Registered specialties

Massage Therapist Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225700000X Licence 2020020264 (MO)

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Registry record

NPI: 1063190940
Entity type: Individual
Sex (as registered): Female
NPI issued: 10 Jul 2023
Record last updated: 10 Jul 2023

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.