ANTHONY D ANDERSON LMPPTA NPI 1922108992

NPI Information

NPI: 1922108992
Provider Name: ANTHONY D ANDERSON, LMP,PTA
Classification: Massage Therapist - 225700000X
Entity Type: Individual
Address:
4560 SE INTERNATIONAL WAY STE 100
MILWAUKIE, OR
ZIP 97222
Phone: (971) 206-5166
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Anthony D Anderson, LMP,PTA is a massage therapist in Milwaukie, OR. The provider is 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. Anthony D Anderson, LMP,PTA NPI is 1922108992. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

4560 SE INTERNATIONAL WAY STE 100
MILWAUKIE, OR
ZIP 97222-628
Phone: (971) 206-5166
Fax: (971) 206-5211

The enumeration date for this NPI number is 9/22/2006 and was last updated on 5/19/2010.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	225700000X	Massage Therapist		MA00019881	WASHINGTON	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	0189046	OTHER	WASHINGTON	LABOR AND INDUSTRIES

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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