Lesli Ann Anderson, LMT, LE
Individual provider Active NPI Massage Therapist · Fenton, MI
NPI 1255145256 · NPPES record last updated Feb 3, 2025
Key facts
- NPI
- 1255145256
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Massage Therapist 225700000X
- License
- 7501014252 (MI)
- Practice address
- 14316 N Fenton Rd
Fenton, MI 48430-1544 - Phone
- (248) 505-2164
- NPI assigned
- Feb 3, 2025
- 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 |
|---|---|---|---|
| 7501014252 | MI | MD | Massage Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Massage Therapist |
225700000X | 7501014252 | MI | Yes |
Addresses
Primary practice location
14316 N Fenton Rd
Fenton, MI 48430-1544
Mailing address
12398 Linden Rd
Linden, MI 48451-9484
Phone (248) 505-2164
Other providers in Fenton, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 3, 2025. 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.