Individual provider · Type 1 NPI
Carol Suzanne Anderson, LMT
Massage Therapist · Norcross, GA
NPI number
1063728178
Active
Practice location
4028 Holcomb Bridge Rd Ste 302A
Norcross, GA 30092-4620
Mailing address
310 N Pond Trl
Roswell, GA 30076-2921
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Massage Therapist Primary | 225700000X | MT002172 (GA) |
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 1063728178
Carol Suzanne Anderson, LMT's National Provider Identifier is 1063728178, issued on Aug 26, 2010. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Norcross, GA. The record was last updated on Aug 26, 2010.