NPI 1740830579 · live from the CMS NPI Registry
Lily Anderson, LMT
Massage Therapist in Mcminnville, OR. National Provider Identifier 1740830579, active.
NPI record
| NPI | 1740830579 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Massage Therapist 225700000X |
| Practice location | 2214 Ne Mcdonald Ln, Mcminnville, OR 97128 |
| Practice phone | 503-434-6603 |
| Enumerated | September 13, 2019 |
| Last updated | September 13, 2019 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Massage Therapist primary | 225700000X | 25387 (OR) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.