Individual
DANIEL RAY ANDERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
L.M.T.
Contact information
Practice address
1812 N WASHINGTON ST, SPOKANE, WA 99205-4757
(509) 998-3440
Mailing address
1812 N WASHINGTON ST, SPOKANE, WA 99205-4757
(509) 998-3440
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA00022310
WA
Other
Enumeration date
02/06/2008
Last updated
02/06/2008
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