Ashley Anderson, LMBT
Individual provider Active NPI Massage Therapist · Athens, GA
NPI 1881265601 · NPPES record last updated Jul 2, 2021
Key facts
- NPI
- 1881265601
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Massage Therapist 225700000X
- License
- 19641 (NC)
- Practice address
- 185 Rollingwood Dr
Athens, GA 30605-3327 - Phone
- (706) 540-8703
- NPI assigned
- Jul 2, 2021
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Massage Therapist | 225700000X | 19641 | NC | Yes |
Addresses
Primary practice location
185 Rollingwood Dr
Athens, GA 30605-3327
Mailing address
185 Rollingwood Dr
Athens, GA 30605-3327
Phone (706) 540-8703
Other providers in Athens, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 2, 2021. 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.