NPI 1821642281

Amanda Jane Beverly, LMT

Practitioner Massage Therapist Georgetown, KY

Practice location

Address: 204 Bevins Ln STE D, Georgetown, KY 40324-6145
Phone: (502) 868-6008

Registered specialties

Massage Therapist Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225700000X Licence 173372 (KY)

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Registry record

NPI: 1821642281
Entity type: Individual
Sex (as registered): Female
NPI issued: 24 Jul 2019
Record last updated: 24 Jul 2019

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.