Individual provider · NPI-1

Cheryl Anderson, LMT

Massage Therapist · Lake Charles, LA

NPI number1780286948
StatusActive
Last updated in NPPESNov 12, 2020

Details

NPI
1780286948
Entity type
Individual (NPI-1)
Name
Cheryl Anderson
Credential
LMT
Sex
Female
Sole proprietor
Yes
Enumeration date
Nov 12, 2020
Certification date
Nov 5, 2020
Last updated
Nov 12, 2020

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
225700000X Massage Therapist8901LAYes

Practice location

2301 E Prien Lake Rd
Lake Charles, LA 70601-7976

Phone 337-602-6959

Mailing address

Po Box 528
Oberlin, LA 70655-0528

Phone 318-491-1314

Is something wrong?

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.

Other Massage Therapist providers in Lake Charles, LA