NPI 1023604501 · live from the CMS NPI Registry
Jaadin Andersen, LMT
Massage Therapist in Geneva, NY. National Provider Identifier 1023604501, active.
NPI record
| NPI | 1023604501 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Massage Therapist 225700000X |
| Practice location | 324 W North St Ste 5, Geneva, NY 14456 |
| Practice phone | 585-944-8332 |
| Enumerated | December 18, 2020 |
| Last updated | December 18, 2020 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Massage Therapist primary | 225700000X | 03217703 (NY) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.