NPI 1164740585 · live from the CMS NPI Registry
Sandra Lee Anderson, massage therapist
Massage Therapist in Jamestown, NY. National Provider Identifier 1164740585, active.
NPI record
| NPI | 1164740585 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Massage Therapist 225700000X |
| Practice location | 101 E 4th St, Jamestown, NY 14701 |
| Practice phone | 716-664-2802 |
| Enumerated | May 10, 2010 |
| Last updated | May 10, 2010 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Massage Therapist primary | 225700000X | 023640-1 (NY) |
| Massage Therapist | 225700000X | 582213-09 (PA) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.