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NPI 1568301414

IndividualActive

Amanda Mullins

NPI 1568301414 · Nurse Massage Therapist (NMT) · Logan, WV

Provider details

NPI number: 1568301414
Entity type: Individual
Primary specialty: Nurse Massage Therapist (NMT)Nursing Service Providers
Sex: Female
Sole proprietor: No
License: 109438 (WV)

Practice location

101 Dingess St

Logan, WV 25601-3603

Phone: (304) 688-9269

More WV providers

Mailing address

101 Dingess St

Logan, WV 25601-3603

Registry dates

Enumerated: 2026-03-26
Last updated: 2026-03-26

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.

Amanda Mullins — NPI 1568301414, Logan, WV | NPI Central