Doctor Name: | JAMES ANDERSON |
NPI Number: | 1992912497 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | |
License Number: | MA00023935 |
Business Practice Address: | 2520 Warner Ave Enumclaw, WA - 980222004 |
Business Phone Number: | 3608024808 |
Business Fax Number: | 3608257604 |
Mailing Address: | 12932 Se Kent Kangley Rd, Suite 438 KENT |
State: | WA |
Postal Code: | 980307940 |
Phone Number: | 4253921814 |
Fax Number: | |
NPI Enumeration Date: | 05/16/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225700000X |
License Number: | MA00023935 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | WA |
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. |