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NPI Code Detail

MEDICARE: AMBER CONNOR LMT

MEDICARE:   AMBER  CONNOR  LMT
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
1225700000XMassage TherapistMT-0004838DE

General Provider Information

NPI Number : 1740975325
Entity Type Code : Individual
Provider Name (Legal Business Name) : AMBER CONNOR LMT
Provider Business Mailing Address
First Line : 2317 WALNUT LN
Second Line :
City : WILMINGTON
State : DE
Zip : 19810-4248
Country : US
Telephone Number : 302-345-4926
Fax Number :
Provider Business Practice Location Address
First Line : 2317 WALNUT LN
Second Line :
City : WILMINGTON
State : DE
Zip : 19810-4248
Country : US
Telephone Number : 302-345-4926
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/10/2023
Last Update Date : 04/10/2023

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Directions to “ AMBER CONNOR LMT” Practice Location

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