Eric B Anderson, LMT
Individual provider Active NPI Massage Therapist · New Smyrna Beach, FL
NPI 1396944005 · NPPES record last updated Jul 12, 2007
Key facts
- NPI
- 1396944005
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Massage Therapist 225700000X
- License
- MA0010485 (FL)
- Practice address
- 488 N Causeway
New Smyrna Beach, FL 32169-5234 - Phone
- (386) 427-5837
- NPI assigned
- Jul 12, 2007
- Sex
- Male
- 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 |
|---|---|---|---|
| MA0010485 | FL | MD | Massage Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Massage Therapist | 225700000X | MA0010485 | FL | Yes |
Addresses
Primary practice location
488 N Causeway
New Smyrna Beach, FL 32169-5234
Mailing address
488 N Causeway
New Smyrna Beach, FL 32169-5234
Phone (386) 427-5837
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| C7803 | Other | FL | BCBS |
| MA0010485 | Other | FL | COMMERCIAL |
Other providers in New Smyrna Beach, FL
- Jacob Allen
- Elizabeth Livingston Alwood
- Sabrina Amazan
- Anc Inc
- Anchor Injury and Integrative Health, LLC
- Jamie Lynn Anderson
- Nathan Andrew
- Emelia Andrews
- Anesthesia Dynamics LLC
- Apb & J Corporation
All providers in New Smyrna Beach, FL · Massage Therapist in Florida
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 12, 2007. 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.