Individual provider · Type 1 NPI
Doretta Anderson, LMT
Massage Therapist · Bradenton, FL
NPI number
1396124053
Active
Practice location
5107 4th Avenue Dr NW
Bradenton, FL 34209-1819
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Massage Therapist Primary | 225700000X | MA20507 (FL) |
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 1396124053
Doretta Anderson, LMT's National Provider Identifier is 1396124053, issued on May 27, 2015. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Bradenton, FL. The record was last updated on May 27, 2015.