Individual provider · Type 1 NPI

Johnathon Eugene Anderson, LMT

Massage Therapist · Simsbury, CT

NPI number 1821376153 Active

Practice location

1606 Hopmeadow St
Simsbury, CT 06070-1448

Mailing address

117 Highland Ave
New Hartford, CT 06057-2026

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000X03-059546 (CT)

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 1821376153

Johnathon Eugene Anderson, LMT's National Provider Identifier is 1821376153, issued on Aug 3, 2011. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Simsbury, CT. The record was last updated on Aug 3, 2011.