Waggoner, Amanda
Waggoner, Amanda is an sole proprietor health care provider with primary practice located at 10815 Kenai Spur Hwy , Kenai AK 99611-7848. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Massage Therapist, which is considered as her primary health care specialty. Waggoner, Amanda can be contacted via phone (907) 283-5414.Contact Information
Primary practice address
10815 Kenai Spur Hwy
Kenai AK 99611-7848
Phone: (907) 283-5414
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Massage Therapist | 225700000X |
Profile Details
| NPI number | 1558861567 |
|---|---|
| LBN Legal business name | Waggoner, Amanda |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Feb 16th, 2018 |
| Last updated | Feb 16th, 2018 - about 7 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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