Latifa Kwayis Anderson
Individual provider Active NPI Massage Therapist · Metairie, LA
NPI 1104548338 · NPPES record last updated Sep 14, 2022
Key facts
- NPI
- 1104548338
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Massage Therapist 225700000X
- License
- LA2918 (LA)
- Practice address
- 2628 Metairie Lawn Dr Ste 202
Metairie, LA 70002-6141 - Phone
- (504) 236-8648
- NPI assigned
- Sep 14, 2022
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|
| LA2918 | LA | MD | Massage Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Massage Therapist | 225700000X | LA2918 | LA | Yes |
Addresses
Primary practice location
2628 Metairie Lawn Dr Ste 202
Metairie, LA 70002-6141
Mailing address
2628 Metairie Lawn Dr Ste 202
Metairie, LA 70002-6141
Phone (504) 236-8648
Other providers in Metairie, LA
- Jhitana Anderson
- Joel Frank Anderson
- Kaylar Ja'Shay Anderson
- Kenyana Ashley Anderson
- Kimberlee Janine Anderson
- Myra Jenea Anderson
- Olivia Rose Anderson
- Rachael Anderson
- Richard Anderson Jr.
- Stephanie M Anderson
All providers in Metairie, LA · Massage Therapist in Louisiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 14, 2022. 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.