Peggy Lou Anne Anderson-Deardorff, LMP

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

60574627 Issued in WA

Practice address

2942 NW Watkins CT
Camas, WA 98607-7341

Phone

(360) 868-4320

NPI assigned

Dec 1, 2015

Sex

Female

Sole proprietor

Yes

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Dec 1, 2015.

{
    "created_epoch": "1448928000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1448928000000",
    "number": "1275908394",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2942 NW WATKINS CT",
            "city": "CAMAS",
            "state": "WA",
            "postal_code": "986077341"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2942 NW WATKINS CT",
            "city": "CAMAS",
            "state": "WA",
            "postal_code": "986077341",
            "telephone_number": "360-868-4320"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANDERSON-DEARDORFF",
        "first_name": "PEGGY",
        "middle_name": "LOU ANNE",
        "credential": "LMP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-12-01",
        "last_updated": "2015-12-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "WA",
            "license": "60574627",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alisha Gipe LLC
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• Trevor W. Allen, D.M.D.
• Rachel Rose Anagnostou, M.ED., BCBA, LBA
• Carrie Rene Anderson, LMP
• Jami Tennile Anderson, MSN APRN FNP
• Jason Anderson, PT, DPT
• Jeffrey Alan Anderson, DC
• Teri L Anderson, LMP

• All providers in Camas, WA
• Massage Therapist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.