Individual
ANNETTE KARIN ANDERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, RD, LD, LMT
Contact information
Practice address
2100 N STATE HIGHWAY 360, SUITE 1106A, GRAND PRAIRIE, TX 75050-1011
(817) 899-5450
Mailing address
2131 N COLLINS ST, SUITE 433402, ARLINGTON, TX 76011-2849
(817) 899-5450
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
DT4158
TX
225700000X
Massage Therapist
MT40972
TX
Other
Enumeration date
01/20/2011
Last updated
01/20/2011
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