Peggy Lou Anne Anderson-Deardorff, LMP
Massage Therapist in Camas, WA. Individual provider (NPI-1).
NPI number1275908394
StatusActive
Last updated in NPPESDec 1, 2015
Details
- NPI
- 1275908394
- Entity type
- Individual (NPI-1)
- Name
- Peggy Lou Anne Anderson-Deardorff
- Credential
- LMP
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Dec 1, 2015
- Last updated
- Dec 1, 2015
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225700000X | Massage Therapist | 60574627 | WA | Yes |
Practice location
2942 Nw Watkins CtCamas, WA 98607-7341
Phone 360-868-4320
Mailing address
2942 Nw Watkins CtCamas, WA 98607-7341
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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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All 65 Massage Therapist providers in Camas · All 535 providers in Camas
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