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NPI 1033059910 · live from the CMS NPI Registry

Mary Kathleen Anderson

Massage Therapist in Baldwinsville, NY. National Provider Identifier 1033059910, active.

NPI record

NPI1033059910 Type 1 · individual
StatusActive
Primary specialtyMassage Therapist 225700000X
Practice location1321 Bellows Rd, Baldwinsville, NY 13027
Practice phone315-572-1600
EnumeratedMarch 30, 2026
Last updatedMarch 30, 2026
Sole proprietorYes

Taxonomies and licenses

TaxonomyCodeLicense
Massage Therapist primary225700000X032849-01 (NY)

Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.