Individual provider · Type 1 NPI
Kenneth Anderson, L.M.P.
Massage Therapist · Seattle, WA
NPI number
1063604080
Active
Practice location
600 1st Ave
Seattle, WA 98104-2216
Fax (206) 860-3566
Mailing address
4255 S Spencer St
Seattle, WA 98118-2731
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Massage Therapist Primary | 225700000X | MA00023769 (WA) |
Massage Therapist: 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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About NPI 1063604080
Kenneth Anderson, L.M.P.'s National Provider Identifier is 1063604080, issued on Aug 14, 2007. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Seattle, WA. The record was last updated on Aug 14, 2007.