Amanda Mae Snow, LMT

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

110664 Issued in KY

Practice address

4444 Dixie Hwy Ste 1
Erlanger, KY 41018-1896

Phone

(859) 740-0607

NPI assigned

May 13, 2020

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other names 1

• Mrs. Amanda Mae Snow Former name

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1589328000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1589328000000",
    "number": "1285256297",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3314 THOMAS ST",
            "city": "ERLANGER",
            "state": "KY",
            "postal_code": "410182256",
            "telephone_number": "859-866-6259"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4444 DIXIE HWY STE 1",
            "city": "ERLANGER",
            "state": "KY",
            "postal_code": "410181896",
            "telephone_number": "859-740-0607"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SNOW",
        "first_name": "AMANDA",
        "middle_name": "MAE",
        "credential": "LMT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-05-13",
        "last_updated": "2020-05-13",
        "certification_date": "2020-05-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Massage Therapist",
            "state": "KY",
            "license": "110664",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "amanda.snow@therusticremedy.com",
            "affiliation": "N",
            "address_1": "4444 Dixie Hwy Ste 1",
            "city": "Erlanger",
            "state": "KY",
            "country_code": "US",
            "postal_code": "410181896",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "AMANDA",
            "last_name": "SNOW",
            "middle_name": "MAE",
            "prefix": "MRS.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Samantha Scott, JD
• Darren Lamont Smith, DC
• Linda Anika Smith, LISW-S
• Nicholas D Smith
• Bruce Alan Snider, MD
• Solutions in Living, LLC
• Johannah M Sorrell
• Source Diagnostics of Kentucky, LLC
• Source Diagnosticsof Kentucky, LLC
• David H Sower, MD

• Massage Therapist in Erlanger, KY
• Providers in Erlanger, KY by specialty
• Massage Therapist in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.