MEDICARE: AMANDA CHANCE

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225700000X	Massage Therapist	MT112355	TX

General Provider Information

NPI Number	:	1205769007
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	AMANDA CHANCE

Provider Business Mailing Address
First Line	:	22824 DAVID
Second Line	:
City	:	NEW CANEY
State	:	TX
Zip	:	77357-8322
Country	:	US
Telephone Number	:	832-480-6359
Fax Number	:

Provider Business Practice Location Address
First Line	:	22186 MARKET PLACE DR
Second Line	:
City	:	NEW CANEY
State	:	TX
Zip	:	77357-2110
Country	:	US
Telephone Number	:	832-480-6359
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/03/2026
Last Update Date	:	06/03/2026

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Directions to “ AMANDA CHANCE ” Practice Location

Language	Start Address	Practice Location

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