Jennifer Louise Anderson, LMT
Massage Therapist in Lacey, WA. Individual provider (NPI-1).
NPI number1699411108
StatusActive
Last updated in NPPESSep 12, 2022
Details
- NPI
- 1699411108
- Entity type
- Individual (NPI-1)
- Name
- Ms. Jennifer Louise Anderson
- Credential
- LMT
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- May 8, 2022
- Certification date
- Sep 12, 2022
- Last updated
- Sep 12, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225700000X | Massage Therapist | MA61240395 | WA | Yes |
| 225700000X | Massage Therapist | MT109150 | TX |
Practice location
8650 Martin Way E Ste 207Lacey, WA 98516-6610
Phone 360-951-4504 · Fax 877-848-7757
Mailing address
8650 Martin Way E Ste 207Lacey, WA 98516-6610
Phone 360-951-4504 · Fax 877-848-7757
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