Amanda Anastasia Dupas, LMT, CMMT
Individual provider Active NPI Massage Therapist · Bossier City, LA
NPI 1306132584 · NPPES record last updated Jun 25, 2011
Key facts
- NPI
- 1306132584
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Massage Therapist 225700000X
- License
- LA4863 (LA)
- Practice address
- 1914 Citizens Bank Dr
Bossier City, LA 71111-3423 - Phone
- (318) 780-6560
- NPI assigned
- Jun 25, 2011
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LA4863 | LA | MD | Massage Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Massage Therapist | 225700000X | LA4863 | LA | Yes |
Addresses
Primary practice location
1914 Citizens Bank Dr
Bossier City, LA 71111-3423
Mailing address
1914 Citizens Bank Dr
Bossier City, LA 71111-3423
Phone (318) 780-6560
Other providers in Bossier City, LA
- David S Drummond
- Natalie Dubois
- Teri Duggan
- Lauren Taylor Duke
- Nadia Kim Dunn
- Jennifer Dupree
- Trenita Durham
- Tasha Duty
- Shona D Dyche
- Connie Brown Dyess
All providers in Bossier City, LA · Massage Therapist in Louisiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 25, 2011. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.