person
Anthony D Anderson, LMP,PTA
Massage Therapist in Milwaukie, Oregon
NPI 1922108992

Anthony D Anderson is a Massage Therapist based in Milwaukie, OR. Anthony D Anderson practices in Milwaukie, OR and has the professional credentials of LMP,PTA. The NPI Number for Anthony D Anderson is 1922108992 and holds a License No. MA00019881 (Oregon).

The current practice location address for Anthony D Anderson is 4560 Se International Way Ste 100, Milwaukie, OR and can be reached out via phone at 971-206-5166 and via fax at 971-206-5211.

Location: 4560 Se International Way Ste 100, Milwaukie, OR, 97222-4628
person
Provider Profile Details
NPI Number
1922108992
Provider Name
Anthony D Anderson
Credential
LMP,PTA
Provider Entity Type
Individual
Gender
Male
Address
4560 Se International Way Ste 100, Milwaukie, OR, 97222-4628
Phone Number
971-206-5166
Fax Number
971-206-5211
Provider Enumeration Date
09/22/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
0189046 01 WA LABOR AND INDUSTRIES
institution
Provider Business Practice Location Address Details
Address
4560 Se International Way Ste 100
City
State
Zip
97222-4628
Phone Number
971-206-5166
Fax Number
971-206-5211
person
Provider Business Mailing Address Details
Address
4560 Se International Way Ste 100
City
State
Zip
97222-4628
Phone Number
971-206-5166
Fax Number
971-206-5211
person
Provider's Taxonomy Details 1
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification
Massage Therapist
Speciality
-
Taxonomy
License No.
MA00019881 (Washington)
Definition
An individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes.
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