Miss Amanda K Blankenship
Massage Therapist
700 S Main St Gritman Medical Center
Moscow
, Idaho 83843-3056
Miss Amanda K Blankenship
Massage Therapist
700 S Main St Gritman Medical Center
Moscow
, Idaho 83843-3056
(509) 330-0771
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About
Features
Specialties
- Massage Therapist
Languages spoken
- English
Location
First Address
- Miss Amanda K Blankenship
- 1568 Northwood Dr Apt 2
- Moscow, ID
- Zip : 83843-8317
- Phone : (509) 330-0771
Second Address
- Miss Amanda K Blankenship
- 700 S Main St Gritman Medical Center
- Moscow, ID
- Zip : 83843-3056
- Fax : (208) 883-6452
- Phone : (208) 883-6544
Reviews
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Is Miss Amanda K Blankenship a sole practitioner?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 225700000X | Massage Therapist | MA00017159 | WA |
National Provider Identifier
| NPI | 1013120435 |
|---|---|
| Provider Name | Miss Amanda K Blankenship |
| First Address | Moscow, ID 83843-8317 |
| Second Address | Moscow, ID 83843-3056 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 08/05/2007 |
| Last Update Date | 08/07/2007 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.