Anderson Therapeutic Massage
Mechanotherapist in Terrytown, LA. Organization (NPI-2).
NPI number1396105680
StatusActive
Last updated in NPPESFeb 29, 2016
Details
- NPI
- 1396105680
- Entity type
- Organization (NPI-2)
- Legal business name
- Anderson Therapeutic Massage
- Organization subpart
- No
- Enumeration date
- Feb 29, 2016
- Last updated
- Feb 29, 2016
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 172M00000X | Mechanotherapist | 5018 | LA | Yes |
Practice location
1720 Stumpf BlvdSuite 203
Terrytown, LA 70056-3923
Phone 985-981-5662
Mailing address
112 Bedford StLa Place, LA 70068-5224
Phone 985-981-5662
Authorized official
Cheryl Rose Anderson
Owner, Medical Massage Therpist
9859815662
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