Individual provider · Type 1 NPI
Jeana Corleen Anderson, MMT, CLT, CNHP
Massage Therapist · Russellville, AR
NPI number
1881293975
Active
Practice location
2621 W Main St Ste 9
Russellville, AR 72801-2551
Mailing address
50 Christmas Dr
Casa, AR 72025-7514
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Massage Therapist Primary | 225700000X | 8302 (AR) |
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 1881293975
Jeana Corleen Anderson, MMT, CLT, CNHP's National Provider Identifier is 1881293975, issued on Oct 20, 2020. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Russellville, AR. The record was last updated on Oct 20, 2020.