Healthcare Provider Details

I. General information

NPI: 1093637662
Provider Name (Legal Business Name): AMANDA GAYLE PRICE LMT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/27/2026
Last Update Date: 07/27/2026
Certification Date: 07/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

521 MAYSVILLE RD
MT STERLING KY
40353-9336
US

IV. Provider business mailing address

334 GALES TRL
JEFFERSONVILLE KY
40337-9512
US

V. Phone/Fax

Practice location:
  • Phone: 859-585-1397
  • Fax:
Mailing address:
  • Phone: 859-585-1397
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225700000X
TaxonomyMassage Therapist
License Number306614
License Number StateKY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: