Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MRS. AMANDA TUCKER QUEEN, LMBT
Active Sole ProprietorMRS. AMANDA TUCKER QUEEN, LMBT is a Massage Therapist healthcare provider located in LOCUST, North Carolina. NPI 1477906063 is currently active in the NPPES registry. Verify at CMS.
Massage Therapist · LOCUST, NC
Registration Details
- NPI Number
- 1477906063
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jul 19, 2016 (10.276404623642 yrs)
- Last Updated
- May 2, 2017
- License
-
9520 (NC)
- Sole Proprietor
- Yes
Practice Information
- Address
-
117 RENEE FORD RDLOCUST, NC, 28097Browse NC providers · Browse ZIP 28097
- Phone
- 7049853325
- Primary Specialty
-
Massage Therapist
225700000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.