Thomas Bruce Anderson
Massage Therapist in Plano, TX. Individual provider (NPI-1).
NPI number1215767751
StatusActive
Last updated in NPPESAug 7, 2024
Details
- NPI
- 1215767751
- Entity type
- Individual (NPI-1)
- Name
- Thomas Bruce Anderson
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Aug 7, 2024
- Certification date
- Aug 6, 2024
- Last updated
- Aug 7, 2024
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225700000X | Massage Therapist | TX141576 | TX | Yes |
Practice location
3035 Granada PlPlano, TX 75023-8004
Phone 214-592-6365
Mailing address
3035 Granada PlPlano, TX 75023-8004
Phone 214-592-6365
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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