Individual
JONATHAN ANDERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
2025015168
MO
225100000X
Physical Therapist
Primary
63624
OR
225100000X
Physical Therapist
Primary
PT7216
ME
225100000X
Physical Therapist
—
—
Other
Enumeration date
03/02/2020
Last updated
04/15/2026
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