David A Anderson, LMP

Individual provider Active NPI Massage Therapist · Chelan, WA

NPI 1083993604 · NPPES record last updated Aug 12, 2011

Key facts

NPI
1083993604
Entity type
Individual (NPI type 1)
Primary specialty
Massage Therapist 225700000X
License
MA60188577 (WA)
Practice address
510 E Woodin Ave
Chelan, WA 98816-9148
Phone
(509) 470-4895
Fax
(888) 570-2644
NPI assigned
Aug 12, 2011
Sex
Male
Sole proprietor
No

Organizations & group practices 2

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.

Medicare participation

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

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
MA60188577WAMDMassage Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Aah Spa, LLC Massage Therapist Past Accepting new patients
Aah Day Spa Massage Therapist Past Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Massage Therapist 225700000X MA60188577 WA Yes

Addresses

Primary practice location

510 E Woodin Ave
Chelan, WA 98816-9148

Mailing address

510 E Woodin Ave
Chelan, WA 98816-9148
Phone (509) 470-4895

Other providers in Chelan, WA

All providers in Chelan, WA · Massage Therapist in Washington

Sources for this page

Verify at the official NPI Registry.