Lisa Aileen Anderson, LMT – Massage Therapist

Key facts

NPI: 1083385405
Entity type: Individual (NPI type 1)
Primary specialty: Massage Therapist 225700000X
License: MA60593278 (WA)
Practice address: 260 W Moore St
Sedro Woolley, WA 98284-1039
Phone: (360) 855-3000
NPI assigned: Sep 24, 2021
Sex: Female
Sole proprietor: Yes

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Ramos Chiropractic Center, LLC Chiropractor · Sedro Woolley, WA · NPI 1780844159

NPD

Medicare participation

Medicare fee-for-service enrollment: Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD): No

State licenses

License	State	Type	Specialty
MA60593278	WA	MD	Massage Therapist

Practice roles

Organization	Specialty	Status	New patients
Ramos Chiropractic Center, LLC		Current since Sep 28, 2021	Accepting new patients

Locations

260 W Moore St
Sedro Woolley, WA 98284
Phone (360) 855-3000

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
Massage Therapist	225700000X	MA60593278	WA	Yes

Addresses

Primary practice location

260 W Moore St
Sedro Woolley, WA 98284-1039

Mailing address

260 W Moore St
Sedro Woolley, WA 98284-1039
Phone (360) 855-3000

Other names

Lisa Aileen Anderson Professional name

Other providers in Sedro Woolley, WA

All providers in Sedro Woolley, WA · Massage Therapist in Washington

Sources for this page

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 24, 2021. Information in NPPES is self-reported and not verified by CMS.
NUCC Health Care Provider Taxonomy: specialty names.
National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.