Individual provider · NPI-1

Kristopher S Anderson, LMT

Massage Therapist · Tallahassee, FL

NPI number1386885945
StatusActive
Last updated in NPPESMar 11, 2009

Details

NPI
1386885945
Entity type
Individual (NPI-1)
Name
Mr. Kristopher S Anderson
Credential
LMT
Sex
Male
Sole proprietor
Yes
Enumeration date
Mar 11, 2009
Last updated
Mar 11, 2009

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
225700000X Massage TherapistMA55286FLYes

Practice location

3116 Capital Cir Ne
Suite 2
Tallahassee, FL 32308-7790

Phone 850-668-4200 · Fax 850-878-3141

Mailing address

6151 Williams Rd
Tallahassee, FL 32311-9190

Phone 850-933-3763

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