NPI 1104548338 · live from the CMS NPI Registry
Latifa Kwayis Anderson
Massage Therapist in Metairie, LA. National Provider Identifier 1104548338, active.
NPI record
| NPI | 1104548338 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Massage Therapist 225700000X |
| Practice location | 2628 Metairie Lawn Dr Ste 202, Metairie, LA 70002 |
| Practice phone | 504-236-8648 |
| Enumerated | September 14, 2022 |
| Last updated | September 14, 2022 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Massage Therapist primary | 225700000X | la2918 (LA) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.