Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JORDAN MARISSA ANDERSON, LMT, MMP, NMT
Active Sole ProprietorJORDAN MARISSA ANDERSON, LMT, MMP, NMT is a Massage Therapist healthcare provider located in BONHAM, Texas. NPI 1962115444 is currently active in the NPPES registry. Verify at CMS.
Massage Therapist · BONHAM, TX
Registration Details
- NPI Number
- 1962115444
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Dec 29, 2022 (3.6586564419373 yrs)
- Last Updated
- Dec 29, 2022
- License
-
MT126094 (TX)
- Sole Proprietor
- Yes
Practice Information
- Address
-
2620 N CENTER ST STE 103ABONHAM, TX, 754182149Browse TX providers · Browse ZIP 75418
- Phone
- 4696313596
- Primary Specialty
-
Massage Therapist
225700000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.