Lisa K Anderson, LMT

Individual provider Active NPI Massage Therapist · Truckee, CA

NPI 1841376282 · NPPES record last updated Mar 19, 2014

Key facts

NPI
1841376282
Entity type
Individual (NPI type 1)
Primary specialty
Massage Therapist 225700000X
License
6630 (CA)
Practice address
17263 Northwoods Blvd
Truckee, CA 96161-6050
Phone
(530) 563-8182
NPI assigned
Oct 28, 2006
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

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Massage Therapist 225700000X 6630 CA Yes

Addresses

Primary practice location

17263 Northwoods Blvd
Truckee, CA 96161-6050

Mailing address

17263 Northwoods Blvd
Truckee, CA 96161-6050
Phone (530) 563-8182

Other providers in Truckee, CA

All providers in Truckee, CA · Massage Therapist in California

Sources for this page

Verify at the official NPI Registry.