Individual
KEVIN M ANDERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CSCS
Contact information
Practice address
144 S MORTON AVE, APT A20, MORTON, PA 19070-2059
(610) 457-8422
Mailing address
144 S MORTON AVE, APT A20, MORTON, PA 19070-2059
(610) 457-8422
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
—
—
Other
Enumeration date
05/30/2007
Last updated
07/08/2007
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