Donald Anderson Jr.
Massage Therapist in Ann Arbor, MI. Individual provider (NPI-1).
NPI number1477005254
StatusActive
Last updated in NPPESOct 17, 2023
Details
- NPI
- 1477005254
- Entity type
- Individual (NPI-1)
- Name
- Donald Anderson Jr.
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Oct 27, 2016
- Certification date
- Oct 17, 2023
- Last updated
- Oct 17, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225700000X | Massage Therapist | 75010003128 | MI | Yes |
| 225200000X | Physical Therapy Assistant | 5502004901 | MI |
Practice location
5060 Jackson Rd Ste DAnn Arbor, MI 48103-1867
Phone 734-627-8001 · Fax 734-433-1989
Mailing address
5060 Jackson Rd Ste DAnn Arbor, MI 48103-1867
Phone 734-635-7187 · Fax 734-433-1989
Other practice locations
42456 Cherry Hill Rd
Canton, MI 48187-3401
Canton, MI 48187-3401
Phone 734-844-1478 · Fax 734-468-1444
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