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James Anderson

Massage Therapist in Enumclaw, WA. Individual provider (NPI-1).

NPI number1992912497
StatusActive
Last updated in NPPESJul 8, 2007

Details

NPI
1992912497
Entity type
Individual (NPI-1)
Name
James Anderson
Sex
Male
Sole proprietor
No
Enumeration date
May 16, 2007
Last updated
Jul 8, 2007

Medicare and OIG

Medicare enrolled (PECOS)
Not in the Medicare enrollment file
Can order and refer
Not on the CMS order and referring list
OIG exclusion list
This NPI is not listed

CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
225700000X Massage TherapistMA00023935WAYes

Practice location

2520 Warner Ave
Enumclaw, WA 98022-2004

Phone 360-802-4808 · Fax 360-825-7604

Mailing address

12932 Se Kent Kangley Rd
Suite 438
Kent, WA 98030-7940

Phone 425-392-1814

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 Enumclaw, WA

All 47 Massage Therapist providers in Enumclaw · All 466 providers in Enumclaw

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