Individual
CHERYL R ANDERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT, CMMP
Contact information
Practice address
112 BEDFORD ST, LA PLACE, LA 70068-5224
(985) 981-5662
Mailing address
112 BEDFORD ST, LA PLACE, LA 70068-5224
(985) 981-5662
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
5018
LA
Other
Enumeration date
09/27/2012
Last updated
09/27/2012
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