NPI 1508026717

Amanda Tennant, LMT

Practitioner Specialist Newark, OH

Practice location

Address: 176 S 30th St, Newark, OH 43055-1941
Phone: (419) 295-5508
Fax: (740) 344-3346

Registered specialties

Specialist Primary

Other Service Providers Taxonomy 174400000X Licence 33.015973 (OH)

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Registry record

NPI: 1508026717
Entity type: Individual
Sex (as registered): Female
NPI issued: 11 Jun 2008
Record last updated: 11 Jun 2008

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.