Doctor Name: | ANANDI COURTNEY ANDERSON |
NPI Number: | 1427460021 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | OT, LMT |
License Number: | 018647 |
Business Practice Address: | 2885 Essex Rd Essex, NY - 129362317 |
Business Phone Number: | 5185289958 |
Business Fax Number: | |
Mailing Address: | Po Box 23, WILLSBORO |
State: | NY |
Postal Code: | 129960023 |
Phone Number: | 5185289958 |
Fax Number: | |
NPI Enumeration Date: | 05/30/2014 |
NPI Last Update Date: | 05/30/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225700000X |
License Number: | 018647 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | NY |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Massage Therapist |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes. |